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

Mason E Vanrossum, LPC

Individual provider Counseling Psychologist · NPI 1881433506

Mason E Vanrossum, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2023, 3 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

480 Pilgrim Way # 1300-A
Green Bay, WI 54304-5280
Phone: (920) 610-5119
Fax: (920) 610-5120
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11795 (WI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 7475-226 (WI)

Record details

NPI number1881433506
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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