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Evan Meyer , LPC

Counselor - Professional β€’ Manitowoc, WI

Active NPI 1487420964 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

339 Reed Ave
Manitowoc, WI 542202020

Call 9203208600 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

339 Reed Ave

Manitowoc, WI 542202020

Telephone 9203208600
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Froedtert Manitowoc Medical Group, 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

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 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

2023

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)

Evan Meyer 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 Evan Meyer 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 Manitowoc and Wisconsin

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Manitowoc

18.2% of these 11 clinicians have the CMS telehealth indicator.

45.5% of these 11 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: 2025-10-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 7044226
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

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

I20240319003872

Enrollment State Jurisdiction

WI

PECOS Control ID

1153768635

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

Froedtert Manitowoc Medical Group, Llc

339 Reed Ave, Manitowoc, WI 542202020

Phone: 9203202011

Froedtert Manitowoc Medical Group, Llc

1414 N Taylor Dr, Sheboygan, WI 530811988

Phone: 9203202436

Clinicians Sharing This Practice Address or Phone

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

5 listed
Dr. Cheong Chan , MD

Psychiatry & Neurology - Psychiatry

NPI 1922395623

Doctor of Medicine (M.D.)

Dr. Cameron Goetz , PhD

Psychologist - Clinical

NPI 1932120607

Doctor of Philosophy (Ph.D.)

Dr. Ann Rojaz , DNP APNP FNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1750866646

DNPAPNPFNPBC

Ellen Rylander , MSW

Social Worker - Clinical

NPI 1982621868

Master of Social Work

Brenda Stallbaum , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1124565882

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location October 06, 2025

Registered at 339 REED AVE, MANITOWOC, WI 542202020 (Tel: 9203208600)

πŸ“
Updated Business Mailing Address October 06, 2025

Registered at 339 REED AVE, MANITOWOC, WI 542202020

πŸ‘€
Provider Name / Credentials Updated October 06, 2025

Recorded as EVAN MEYER, LPC

βœ…
NPI Profile Active November 27, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 27, 2023

Registered at 1019 N 8TH ST, SHEBOYGAN, WI 530814006 (Tel: 9203553113)

πŸ“
Business Mailing Address (Initial Record) November 27, 2023

Registered at 1019 N 8TH ST, SHEBOYGAN, WI 530814006

πŸ‘€
Provider Name / Credentials (Initial Record) November 27, 2023

Recorded as EVAN MEYER, LPC-IT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Counselor (license number reported to NPPES: WI 7044226)

🟒
Initial NPI Registration & Enumeration November 27, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487420964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2023
Last Update: October 06, 2025
Sole Proprietor: No

Mailing Address

339 Reed Ave

Manitowoc, WI 542202020

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.