Active NPI
Roberta Trucco, PROFESSIONAL COUNSEL
- Professional Counselor
- Appleton, WI
National Provider Identifier
1083256994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2809
- Practice address
- 320 S. Walnut St.
Appleton, WI 54911-5918 - Phone
- (920) 832-5270
- Fax
- (920) 832-4767
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2809 | WI | |
| Professional Counselor | 101YP2500X | 2809 | WI | Primary |
Addresses
Primary practice location
320 S. Walnut St.
Appleton, WI 54911-5918
Mailing address
320 S. Walnut St.
Appleton, WI 54911-5918
Phone (920) 832-5270
Other names 1
- Roberta A Barron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2809 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1083256994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S. WALNUT ST.",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115918",
"telephone_number": "920-832-5270",
"fax_number": "920-832-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S. WALNUT ST.",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115918",
"telephone_number": "920-832-5270",
"fax_number": "920-832-4767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUCCO",
"first_name": "ROBERTA",
"credential": "PROFESSIONAL COUNSEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2809",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTA",
"last_name": "BARRON",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
- Julia Rose Tremillo, PA-C
- Alexander Spencer Tretinyak, MD
- Tri Corner Chiropractic LLC
- Tri-County Community Dental Clinic, Inc.
- Suzanne Gayle Triezenberg, RN
- Elizabeth Jean Trudell, PTA
- Kim Merle Trudell, LCSW, SAC
- Sarah A Truesdale, APNP
- Vanessa Rose Trujillo-Tenbrink
- Jennifer Lee Trustem, MS/CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.