Jennifer Betters-Bubon, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6658125 Issued in WI

Practice address

127 E Prospect St
Stoughton, WI 53589-1650

Phone

(608) 347-1367

NPI assigned

Apr 11, 2020

Sex

Female

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2020.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1053930867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E PROSPECT ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E PROSPECT ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891650",
            "telephone_number": "608-347-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTERS-BUBON",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6658125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Stoughton, WI
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.