Active NPI
Janette R McDonough, LPC
- Professional Counselor
- Clintonville, WI
National Provider Identifier
1093366890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5595
- Practice address
- 47 S Main St
Clintonville, WI 54929-1564 - Phone
- (715) 321-3696
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5595 | WI | Primary |
Addresses
Primary practice location
47 S Main St
Clintonville, WI 54929-1564
Mailing address
3200 Water St TRLR 61
Stevens Point, WI 54481-5263
Phone (715) 321-3696
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 |
|---|---|---|---|
| 5595 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1093366890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 WATER ST TRLR 61",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544815263",
"telephone_number": "715-321-3696",
"fax_number": "815-668-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 S MAIN ST",
"city": "CLINTONVILLE",
"state": "WI",
"postal_code": "549291564",
"telephone_number": "715-321-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "JANETTE",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clintonville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.