Charles D Lipford, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15413-131 Issued in WI

Practice address

220 E la Crosse St.
Juneau County Human Services
Mauston, WI 53948-2101

Phone

(608) 847-2400

Fax

(608) 847-9599

NPI assigned

Jul 3, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Juneau County

  • Public Health or Welfare Agency
  • Mauston, WI
  • NPI 1093872285
  NPD (past)
• Juneau County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mauston, WI
  • NPI 1487691697
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1003079708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E LA CROSSE ST.",
            "address_2": "JUNEAU COUNTY HUMAN SERVICES",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482101",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E LA CROSSE ST.",
            "address_2": "JUNEAU COUNTY HUMAN SERVICES",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539482101",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPFORD",
        "first_name": "CHARLES",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "302375",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15413-131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003079708",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Scott Lenninger, CRNA
• Kali Lenz, MS, ATC, LAT
• June Lewandoski, M.D.
• James Dennis Lierman, NP
• Lindsey Lierman, OT
• Crissy L Lobermier
• James Joseph Logan, M.D.
• Cheyenne Longstreet, ATC
• Columba Robert Loniello, MA
• Kevin P Lunog, LCSW, CSAC

• Addiction (Substance Use Disorder) Counselor in Mauston, WI
• Providers in Mauston, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.