Individual provider Active NPI

Timothy M Bosch, LPC

  • Professional Counselor
  • Onalaska, WI
National Provider Identifier
1053064923
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
571 Braund St
Onalaska, WI 54650-8556
Phone
(608) 785-7000
Fax
(608) 785-7477
NPI assigned
Feb 1, 2022
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 Primary

Addresses

Primary practice location

571 Braund St
Onalaska, WI 54650-8556

Mailing address

571 Braund St
Onalaska, WI 54650-8556
Phone (608) 785-7000

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
I20241126001215 WI Practitioner - Mental Health Counselor 8729513874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stein Counseling and Consulting Services, LTD.Group PAC ID 2860395969, 13 clinicians

Practice addresses (Care Compare)

571 Braund St
Onalaska, WI 54650-8556
Phone (608) 785-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stein Counseling and Consulting Services, LTD. Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

571 Braund St
Onalaska, WI 54650
Phone (608) 668-2629

Organizations & group practices 1

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1053064923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-785-7000",
            "fax_number": "608-785-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-785-7000",
            "fax_number": "608-785-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

Verify at the official NPI Registry.