Individual provider Active NPI

Julia K Pferdehirt, M.A., LPC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1043518426
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
965-226 Issued in WI
Practice address
6333 Odana Rd Ste 100
Madison, WI 53719-1170
Phone
(608) 332-6056
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 965-226 WI
Professional Counselor 101YP2500X 965-226 WI Primary

Addresses

Primary practice location

6333 Odana Rd Ste 100
Madison, WI 53719-1170

Mailing address

7426 Elmwood Ave
Middleton, WI 53562-3106
Phone (608) 332-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
965-226WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1043518426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 ELMWOOD AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623106",
            "telephone_number": "608-332-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 ODANA RD STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191170",
            "telephone_number": "608-332-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFERDEHIRT",
        "first_name": "JULIA",
        "middle_name": "K",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "965-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "965-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.