Individual provider Active NPI

Michele L Rasmussen, MA, LPC

  • Mental Health Counselor
  • Plover, WI
National Provider Identifier
1063563146
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3540-125 Issued in WI
Practice address
2831 Post Rd Ste 300
Plover, WI 54467-3415
Phone
(715) 600-2798
NPI assigned
Jan 15, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3540-125 WI Primary
Professional Counselor 101YP2500X 3540-125 WI

Addresses

Primary practice location

2831 Post Rd Ste 300
Plover, WI 54467-3415

Mailing address

2831 Post Rd Ste 300
Plover, WI 54467-3415
Phone (715) 600-2798

Other identifiers 1

IdentifierTypeStateIssuer
40988300MedicaidWI

Other names 1

  • Michele Hays Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118001094 WI Practitioner - Mental Health Counselor 0446277024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Clinic LLCGroup PAC ID 0042645046, 11 clinicians

Practice addresses (Care Compare)

2831 Post Rd
Suite 300
Plover, WI 54467-3415
Phone (715) 600-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3540-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinic LLC Mental Health CurrentSince Dec 8, 2024 Accepting new patients

Locations

2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1063563146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 POST RD STE 300",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673415",
            "telephone_number": "715-600-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 POST RD STE 300",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673415",
            "telephone_number": "715-600-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "MICHELE",
        "middle_name": "L",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3540-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3540-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40988300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "HAYS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plover, WI

Sources for this page

Verify at the official NPI Registry.