Grace Rondeau, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3168-125 Issued in WI

Practice address

420 7TH St
Racine, WI 53403-1222

Phone

(262) 634-2391

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Luz Graciela Rondeau Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Service of Racine

  • Mental Health Counselor
  • Racine, WI
  • NPI 1467419200
  NPD (past)
• Young Mens Christian Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1962166744
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1932473097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 7TH ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031222",
            "telephone_number": "262-634-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "GRACE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3168-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "RONDEAU",
            "middle_name": "GRACIELA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Terry G Romana, PA-C
• Natalie Romano
• Jeffrey Romanski
• Tristah R Romero-Kelly, APNP
• Donald Edward Romsa, DDS
• Rondi J Rork PHD LLC
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• Roots Residential Adult Family Homes LLC
• Rondi J Rork, PH.D.
• Susan K Rosenbaum, PT

• Professional Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.