VERONICA M ELLINGWORTH MS LPC SAC ICS NPI 1528577152

NPI Information

  • NPI: 1528577152
  • Provider Name: VERONICA M ELLINGWORTH, MS, LPC, SAC, ICS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 BUSINESS PARK CIR STE 202
    STOUGHTON, WI
    ZIP 53589
  • Phone: (608) 695-0960

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NPI Details

Veronica M Ellingworth, MS, LPC, SAC, ICS is a mental health counselor in Stoughton, WI with 13 years of experience. Veronica M Ellingworth, MS, LPC, SAC, ICS NPI is 1528577152. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 BUSINESS PARK CIR STE 202
STOUGHTON, WI
ZIP 53589-501
Phone: (608) 695-0960

The NPI 1528577152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/26/2017 and was last updated on 4/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor6410-125WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)16161-131WISCONSINNo
3101YP2500XCounselorProfessional6410-125WISCONSINNo
4101YM0800XCounselorMental Health6410-125WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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