RED OAK COUNSELING OF WISCONSIN
NPI 1750151189
Psychologist - Clinical in Elm Grove, WI
NPI Status: Active since January 05, 2024
Contact Information
12970 W BLUEMOUND RD STE 200
ELM GROVE, WI
ZIP 53122
Phone: (704) 506-6267
- Organization
- Psychologist
- Clinical
- Accepts Insurance
About RED OAK COUNSELING OF WISCONSIN
This page provides the complete NPI Profile along with additional information for Red Oak Counseling Of Wisconsin, a provider established in Elm Grove, Wisconsin operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1750151189 assigned on January 2024. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated one year ago. Red Oak Counseling Of Wisconsin operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Red Oak Counseling Of Wisconsin. The authorized official of this NPI record is Leslie Johnson (Ceo)
- NPI
- 1750151189
- Provider Legal Name
- OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
- Other Organization Name
- RED OAK COUNSELING OF WISCONSIN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122
- Location Phone
- (704) 506-6267
- Mailing Address
- 11000 OPTUM CIR EDEN PRAIRIE, MN 55344
- Mailing Phone
- (704) 506-6267
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2024
- Last Update Date
- 04-24-2024
- Code Navigator
A clinical psychologist like Red Oak Counseling Of Wisconsin assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
- Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 1 | 5 | 1 | 1 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 2 | 5 | 2 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 2 + 5 + 2 + 1 + 1 + 6 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1750151189 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346732740 | LEAH E MCMILLIAN LPC-IT Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1386128932 | ELISABETH GEHRKE LPC Individual | Counselor | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1022 |
| 1366642456 | MR. KENDALL LEE CROOK MA, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1972889160 | MR. LEONARD JOSEPH DELVECCHIO MA, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1619374188 | ANDREA MIDDLESWORTH LPC Individual | Counselor (Mental Health) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (252) 780-1020 |
| 1174743678 | MRS. HEIDI LYNN CONTO LCSW Individual | Counselor | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1902449267 | JENNIFER SUMIEC LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1265092167 | KIMBERLY BRANDHAGEN APSW, SAC-IT Individual | Social Worker | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1861004848 | MICHAELA R KLIMKO LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
| 1215073747 | MRS. JUDY WANG LUE BERTONI CSAC, ICS, LPC Individual | Counselor (Professional) | 12970 W BLUEMOUND RD STE 200 ELM GROVE, WI 53122 (262) 780-1020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750151189, enumerated in the NPI registry as an "organization" on January 05, 2024
The provider is located at 12970 W Bluemound Rd Ste 200 Elm Grove, Wi 53122 and the phone number is (704) 506-6267
This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health, BannerAetna, Chorus Community. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 05, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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