Individual provider Active NPI

Beth D. Wilder-Stieber, L.P.C.

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1053460956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
776-125 Issued in WI
Practice address
903 2ND St
Wausau, WI 54403-4705
Phone
(715) 842-3346
Fax
(715) 842-3344
NPI assigned
Jan 9, 2007
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 776-125 WI Primary

Addresses

Primary practice location

903 2ND St
Wausau, WI 54403-4705

Mailing address

875 Bristers Hill Rd
Wausau, WI 54401-8345
Phone (715) 842-4484

Other identifiers 1

IdentifierTypeStateIssuer
39218300MedicaidWI

Other names 1

  • Ms. Beth D. Wilder Former name

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

State licenses

LicenseStateTypeSpecialty
776-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053460956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BRISTERS HILL RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544018345",
            "telephone_number": "715-842-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034705",
            "telephone_number": "715-842-3346",
            "fax_number": "715-842-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER-STIEBER",
        "first_name": "BETH",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "776-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39218300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "WILDER",
            "middle_name": "D.",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.