Mason Vanrossum, LPC-IT - in De Pere, WI

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Mason Vanrossum, LPC-IT is a Counselor - Mental Health based in De Pere, Wisconsin. Mason Vanrossum is licensed to practice in Wisconsin (license number 7475-226) and his current practice location is 601 Third Street, De Pere, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 403-3266.

NPI number for Mason Vanrossum is 1881433506 and his current mailing address is Po Box 19070, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881433506.

Contact Information

Mason Vanrossum, LPC-IT
601 Third Street,
De Pere, WI 54115
(920) 403-3266
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMason Vanrossum
GenderMale
SpecialityCounselor - Mental Health
Location601 Third Street, De Pere, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881433506
  • Provider Enumeration Date: 05/22/2024
  • Last Update Date: 06/26/2024

Medical Identifiers

Medical identifiers for Mason Vanrossum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881433506NPI-NPPES
100277298MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 7475-226 (Wisconsin)Secondary
101YM0800XCounselor - Mental Health 7475-226 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mason Vanrossum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mason Vanrossum, LPC-IT
Po Box 19070,
Green Bay, WI 54307-9070

Ph: (920) 496-4700		Mason Vanrossum, LPC-IT
601 Third Street,
De Pere, WI 54115

Ph: (920) 403-3266

Reviews and Comments



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