Individual provider Active NPI

Carol Ann Ward, LPC,NCC

  • Professional Counselor
  • Janesville, WI
National Provider Identifier
1023042439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
772-125 Issued in WI
Practice address
1519 Primrose LN
Janesville, WI 53545-0418
Phone
(608) 752-7255
Fax
(608) 752-6942
NPI assigned
Jul 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 772-125 WI Primary

Addresses

Primary practice location

1519 Primrose LN
Janesville, WI 53545-0418

Mailing address

1519 Primrose LN
Janesville, WI 53545-0418
Phone (608) 752-7255

Other identifiers 1

IdentifierTypeStateIssuer
39218400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314001876 WI Practitioner - Mental Health Counselor 5092772715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Psychotherapy LLCGroup PAC ID 8628222064, 10 clinicians

Practice addresses (Care Compare)

4700 Dresser Dr
Suite 100
Janesville, WI 53546-9160
Phone (608) 752-7255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
772-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychotherapy, LLC Professional CurrentSince Aug 13, 2012 Accepting new patients
Ap Associates Professional Past Accepting new patients

Locations

4700 Dresser Dr
Ste 100
Janesville, WI 53546
Phone (608) 752-7255

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023042439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 PRIMROSE LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450418",
            "telephone_number": "608-752-7255",
            "fax_number": "608-752-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 PRIMROSE LN",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450418",
            "telephone_number": "608-752-7255",
            "fax_number": "608-752-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "LPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "772-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39218400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.