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

Prabhu Venkataraman, LPC-IT

Individual provider Mental Health Counselor · NPI 1558171017

Prabhu Venkataraman, LPC-IT is a Mental Health Counselor in Beaver Dam, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

1807 N Center St Ste 204
Beaver Dam, WI 53916-1005
Phone: (920) 887-8751
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8241-226 (WI)

Record details

NPI number1558171017
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

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