Individual provider Active NPI

John Pleugers, M.A. LPC

  • Professional Counselor
  • Black River Falls, WI
National Provider Identifier
1083027577
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5319-125 Issued in WI
Practice address
W9850 Airport Road
Black River Falls, WI 54615-9998
Phone
(715) 284-9851
Fax
(715) 284-3434
NPI assigned
Jun 3, 2014
Last updated
Jun 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5319-125 WI Primary

Addresses

Primary practice location

W9850 Airport Road
Black River Falls, WI 54615-9998

Mailing address

W9850 Airport Road Pob 918
Black River Falls, WI 54615-9998
Phone (715) 284-9851

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
I20240316000441 WI Practitioner - Mental Health Counselor 3173969854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ho Chunk NationGroup PAC ID 5496709867, 30 clinicians

Practice addresses (Care Compare)

S2845 White Eagle Rd
Baraboo, WI 53913-9064
Phone (608) 355-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5319-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ho Chunk Nation CurrentSince Jan 7, 2024 Accepting new patients
Ho-Chunk Nation CurrentSince Jan 7, 2024 Accepting new patients

Locations

S2845 White Eagle Rd
Baraboo, WI 53913
Phone (608) 355-1240

N6520 Lumberjack Guy Rd
Blk River Fls, WI 54615
Phone (715) 284-9851

Organizations & group practices 2

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1083027577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W9850 AIRPORT ROAD POB 918",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159998",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W9850 AIRPORT ROAD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159998",
            "telephone_number": "715-284-9851",
            "fax_number": "715-284-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEUGERS",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5319-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.