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

Richard William Meyer II, LPC-IT

Individual provider Professional Counselor · NPI 1417719774

Richard William Meyer II, LPC-IT is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

480 Pilgrim Way # 1300A
Green Bay, WI 54304-5280
Phone: (920) 610-5119
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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 7273-226 (WI)

Record details

NPI number1417719774
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay