Beautifully Broken Counseling LLC
NPI 1336889062ActiveOrganization· Counselor, Mental Health· De Pere, WI
Counselor, Mental Health in De Pere, Wisconsin, registered in NPPES in March 2022. The authorized official on file is Amanda Radtke, LPC, Owner.
Overview
| NPI | 1336889062 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Mar 30, 2022 |
| Certified by provider | Mar 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other mental health counselors in De Pere
- 1013621804
- 1477285260
- 1588025720
- 1144742040
- 1235988338
- 1265969950
- 1285708487
- 1295493245
- 1356116701
- 1407377633
- 1447461975
- 1477764520
All 32 mental health counselors in De Pere · All mental health counselors in Wisconsin