Veronica M Ellingworth, MS, LPC, SAC, ICS | |
100 Business Park Cir Ste 202, Stoughton, WI 53589-5501 | |
(608) 695-0960 | |
Not Available |
Full Name | Veronica M Ellingworth |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 100 Business Park Cir Ste 202, Stoughton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528577152 | NPI | - | NPPES |
Entity Name | Velvaere Mental Health Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770346702 PECOS PAC ID: 1456893403 Enrollment ID: O20240606001074 |
Mailing Address | Practice Location Address |
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Veronica M Ellingworth, MS, LPC, SAC, ICS 204 E Hubert St, Edgerton, WI 53534-1318 Ph: (608) 695-0960 | Veronica M Ellingworth, MS, LPC, SAC, ICS 100 Business Park Cir Ste 202, Stoughton, WI 53589-5501 Ph: (608) 695-0960 |
Jennifer Betters-bubon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Prospect St, Stoughton, WI 53589 Phone: 608-347-1367 | |
Ms. Jean A Daute, MS LPC CSAC ICS MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589 Phone: 608-873-7838 Fax: 877-674-2177 | |
Carmen Sperle, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3436 County Road A, Stoughton, WI 53589 Phone: 608-215-2018 | |
Gabrielle Elise Montana, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838 | |
Jeani M Oppeneer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 N Madison St, Stoughton, WI 53589 Phone: 608-235-9625 | |
Mr. Joe M Lambert, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589 Phone: 608-873-7838 Fax: 877-674-2177 |