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

Individual provider Professional Counselor · NPI 1154894848

Nichole Decorah, LPC-IT is a Mental Health Counselor in Portage, Wisconsin. Qualified in 2021, 5 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

1508 New Pinery Rd
Portage, WI 53901-1312
Phone: (608) 745-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 752 N High Point Rd, Madison, WI 53717-2236 — (608) 824-4000

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5176-226 (WI)

Record details

NPI number1154894848
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedJanuary 6, 2019
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address532 Laurel St, Reedsburg, WI 53959-1231

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portage