Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Devera Ronquillo

Individual provider Professional Counselor · NPI 1316213929

Andrew Devera Ronquillo is a Mental Health Counselor in Milwaukee, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

6980 N Port Washington Rd
Milwaukee, WI 53217-3900
Phone: (414) 351-7100
Fax: (414) 247-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5489 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 16286-130 (WI)

Record details

NPI number1316213929
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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