PRABHU VENKATARAMAN LPC-IT NPI 1558171017

NPI Information

  • NPI: 1558171017
  • Provider Name: PRABHU VENKATARAMAN, LPC-IT
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1807 N CENTER ST STE 204
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 887-8751

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NPI Details

Prabhu Venkataraman, LPC-IT is a mental health counselor in Beaver Dam, WI. Prabhu Venkataraman, LPC-IT NPI is 1558171017. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1807 N CENTER ST STE 204
BEAVER DAM, WI
ZIP 53916-005
Phone: (920) 887-8751

The enumeration date for this NPI number is 1/8/2025 and was last updated on 1/8/2025.

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
1101YM0800XCounselorMental Health8241-226WISCONSINYes

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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