Mason E Vanrossum, LPC is a
Counselor - Mental Health based in Green Bay, Wisconsin. Mason E Vanrossum is licensed to practice in Wisconsin (license number 11795) and his current practice location is
480 Pilgrim Way # 1300-a, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 610-5119.
NPI number for Mason E Vanrossum is 1881433506 and his current mailing address is 1900 Silver Lake Rd Nw Ste 110, New Brighton, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881433506.
Healthcare Provider's Profile
| Full Name | Mason E Vanrossum |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 480 Pilgrim Way # 1300-a, Green Bay, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881433506
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 08/04/2025
Medical Identifiers
Medical identifiers for Mason E Vanrossum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881433506 | NPI | - | NPPES |
| 100277298 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | 7475-226 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11795 (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 E 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 Address | Practice Location Address |
|---|
Mason E Vanrossum, LPC
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789
Ph: (651) 628-9566 | Mason E Vanrossum, LPC
480 Pilgrim Way # 1300-a,
Green Bay, WI 54304-5280
Ph: (920) 610-5119 |
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