Michael Alexander Baumhardt

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5156 Issued in WI

Practice address

1446 Horicon St
Mayville, WI 53050-1467

Phone

(262) 334-4340

NPI assigned

May 12, 2020

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Clinical Services Inc

  • Multi-Specialty Clinic/Center
  • West Bend, WI
  • NPI 1851473698
  NPD (past)
• Kettle Moraine Counseling LLC

  dba Kettle Moraine Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Bend, WI
  • NPI 1568790954
  NPD (past)

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1013539097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501467",
            "telephone_number": "262-334-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HORICON ST",
            "city": "MAYVILLE",
            "state": "WI",
            "postal_code": "530501467",
            "telephone_number": "262-334-4340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W River Dr",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530901518",
            "country_code": "US",
            "telephone_number": "262-334-4340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMHARDT",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aria of Mayville LLC
• Aurora Advanced Healthcare, Inc.
• Aurora Medical Group, Inc.
• Back in Action Rehabilitation, S.C.
• Rodney L Barnes, DC
• Christina M Beske
• Karen Lea Bodden, PT
• Rebecca Brath, LPC
• Mark Christian Brieman, D.D.S.
• Amy Beth Brotcke, OTR

• Counselor in Mayville, WI
• Providers in Mayville, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.