David Arroyo Jr.
Individual provider Active NPI Counselor · Appleton, WI
NPI 1992482996 · NPPES record last updated Jun 30, 2023
Key facts
- NPI
- 1992482996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 7486-226 (WI)
- Practice address
- 245 N Metro Dr
Appleton, WI 54913-8572 - Phone
- (920) 903-1009
- NPI assigned
- Jun 30, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 W River Woods Pkwy
Glendale, WI 53212-1060
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260505002402 | WI | Practitioner - Mental Health Counselor | 2062980337 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7486-226 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressive Therapies LLC | Current |
Accepting new patients | |
| Seed Inc | Current |
Accepting new patients |
Locations
245 N Metro Dr
Appleton, WI 54913
Phone (920) 284-0891
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 7486-226 | WI | Yes |
Addresses
Primary practice location
245 N Metro Dr
Appleton, WI 54913-8572
Mailing address
245 N Metro Dr
Appleton, WI 54913-8572
Phone (920) 903-1009
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.