Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Lisa A Hidde , LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1467688648 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2505 E Evergreen Dr Ste C
Appleton, WI 549138881

Call 9207507000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2505 E Evergreen Dr Ste C

Appleton, WI 549138881

Telephone 9207507000
Fax 9203642451
Organization at the Same NPPES Address or Phone
Catalpa Health Facility NPI 1386992451

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ccp Clinic Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2005

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Lisa Hidde has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Lisa Hidde as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-12-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 3988-125
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Sherman Counseling
1235251349 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250827001024

Enrollment State Jurisdiction

WI

PECOS Control ID

3072014604

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ccp Clinic Llc

424 E Longview Dr, Appleton, WI 549112167

Phone: 9202349240

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1417941071

Doctor of Philosophy (Ph.D.)

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

NPI 1720155328

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location December 08, 2020

Registered at 2505 E EVERGREEN DR STE C, APPLETON, WI 549138881 (Tel: 9207507000)

πŸ“
Updated Business Mailing Address December 08, 2020

Registered at 613 IDLEWILD ST, KAUKAUNA, WI 541301025 (Tel: 9204284443)

βœ…
NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 11, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

πŸ“
Updated Business Mailing Address December 11, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

πŸ‘€
Provider Name / Credentials Updated December 11, 2017

Recorded as LISA HIDDE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Counselor (license number reported to NPPES: WI 3988-125)

βœ…
NPI Profile Active June 02, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 02, 2009

Registered at 1820 APPLETON RD, MENASHA, WI 549521110 (Tel: 9209962200)

πŸ“
Business Mailing Address (Initial Record) June 02, 2009

Registered at 1820 APPLETON RD, MENASHA, WI 549521110 (Tel: 9209962200)

πŸ‘€
Provider Name / Credentials (Initial Record) June 02, 2009

Recorded as LISA HIDDE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2009

Counselor (license number reported to NPPES: WI 3988-125)

🟒
Initial NPI Registration & Enumeration June 02, 2009

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1467688648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2009
Last Update: December 08, 2020
Sole Proprietor: No

Mailing Address

613 Idlewild St

Kaukauna, WI 541301025

Phone: 9204284443

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.