Sean Geraty

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

809 Park Ave
Beaver Dam, WI 53916-2205

Phone

(920) 463-0118

NPI assigned

Jan 23, 2019

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  dba LSS Janesville Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1386719177

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1053875153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 PARK AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162205",
            "telephone_number": "920-463-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERATY",
        "first_name": "SEAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTIFICATION",
            "identifier": "18083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUTHERAN SOCIAL SERVICES",
            "identifier": "18083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Garde, L.AC.
• Nicole Lee Gates, DPT
• Julie Geigner, RDH
• Paula Marie Gella, OTR OTRL
• Generations Chiropractic of Wi LLC
• Harinder Singh Gill, M.D.
• Marc Bernard Gladden II, D.O.
• Kenneth C Graupner, MD
• Green Valley Enterprises, Inc.
• Danielle Green, PT, DPT

• Marriage & Family Therapist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.