Active NPI
Barbara Jo Bunnell, MSW, LCSW, SAC-IT
- Clinical Social Worker
- Wausau, WI
National Provider Identifier
1093078784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9226-123
- Practice address
- 1810 N 2ND St
Wausau, WI 54403-3492 - Phone
- (715) 848-4884
- NPI assigned
- Jun 19, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 9226-123 | WI | Primary |
Addresses
Primary practice location
1810 N 2ND St
Wausau, WI 54403-3492
Mailing address
1812 N 2ND St
Wausau, WI 54403
Other practice location 1
N6654 Rolling Meadows Dr
Fond Du Lac, WI 54937-9471
Phone (920) 906-5100
Other practice location 2
1991 Winnebago Dr
Rhinelander, WI 54501
Phone (715) 362-5745
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 N 6TH St
Wausau, WI 54403-4718
Phone (715) 848-5022
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9226-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Centre for Well-Being, Inc | Current | Accepting new patients | |
| Primary Connection Health Care, Inc. | Current | Accepting new patients | |
| The Human Service Center Koinonia Residential Treatment Center | Past | Accepting new patients | |
| Lakeland Care Inc | Past | Accepting new patients | |
| Options Counseling Services, LLC | Past | Accepting new patients |
Locations
1810 N 2nd St
Wausau, WI 54403
Phone (715) 848-4884
901 N 6th St
Wausau, WI 54403
Phone (715) 848-5022
Organizations & group practices 6
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wausau, WI
- NPI 1144426495
-
- Federally Qualified Health Center (FQHC)
- Wausau, WI
- NPI 1457370744
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wausau, WI
- NPI 1922173418
-
- Exclusive Provider Organization
- Fond Du Lac, WI
- NPI 1366563314
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greendale, WI
- NPI 1720369366
-
- Substance Abuse Rehabilitation Facility
- Rhinelander, WI
- NPI 1932301306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1093078784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 N 2ND ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 N 2ND ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544033492",
"telephone_number": "715-848-4884"
}
],
"practiceLocations": [
{
"address_1": "N6654 Rolling Meadows Dr",
"address_purpose": "LOCATION",
"city": "Fond Du Lac",
"state": "WI",
"postal_code": "549379471",
"country_code": "US",
"telephone_number": "920-906-5100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1991 Winnebago Dr",
"address_purpose": "LOCATION",
"city": "Rhinelander",
"state": "WI",
"postal_code": "54501",
"country_code": "US",
"telephone_number": "715-362-5745",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUNNELL",
"first_name": "BARBARA JO",
"credential": "MSW, LCSW, SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "9226-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.