Karen Sue Mundt, C-SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11414-132 Issued in WI

Practice address

132 W State St
Medford, WI 54451-1735

Phone

(715) 305-8112

NPI assigned

May 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1053526376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511845",
            "telephone_number": "715-305-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W STATE ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511735",
            "telephone_number": "715-305-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "C-SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11414-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBERS",
            "identifier": "11414-132",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39385400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Lisa Meyer-Moser, FNP-BC
• Debra Kay Miller, MSOM LAC
• Marjorie S. Miller, M.D.
• Daniel P Miskulin, DDS
• Amanda Mosse
• Linda Israel Murphy, LCSW
• Sally Mae Nazer, DDS
• Heidi Marie Nernberger, RDH
• Susan Lynn Netzer, RN
• Sally Rae Niziol, LPN

• Addiction (Substance Use Disorder) Counselor in Medford, WI
• Providers in Medford, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.