Active NPI
Beth D. Wilder-Stieber, L.P.C.
- Professional Counselor
- Wausau, WI
National Provider Identifier
1053460956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 776-125
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39218300 | Medicaid | WI |
Other names 1
- Ms. Beth D. Wilder
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
| License | State | Type | Specialty |
|---|---|---|---|
| 776-125 | WI | MD | Professional 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.