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

Brock Davis Vern Schultz, LPC-IT

Individual provider Professional Counselor · NPI 1902552417

Brock Davis Vern Schultz, LPC-IT is a Mental Health Counselor in Monona, Wisconsin. Qualified in 2013, 13 years ago. Practices with Our Generations Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2022

Practice location Address checks out

1955 W Broadway Ste 104
Monona, WI 53713-3700
Phone: (608) 395-1795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3887-226 (WI)

Record details

NPI number1902552417
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address1955 W Broadway Ste 104, Monona, WI 53713-3700

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Our Generations Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monona