Active NPI
Craig Sweeney, LPC-IT
- Professional Counselor
- Fort Atkinson, WI
National Provider Identifier
1093437956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7030-226
- Practice address
- 500 McMillen St
Fort Atkinson, WI 53538-1233 - Phone
- (920) 222-0154
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 7030-226 | WI | Primary |
Addresses
Primary practice location
500 McMillen St
Fort Atkinson, WI 53538-1233
Mailing address
500 McMillen St
Fort Atkinson, WI 53538-1233
Phone (920) 222-0154
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 |
|---|---|---|---|
| 7030-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1093437956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MCMILLEN ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381233",
"telephone_number": "920-222-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MCMILLEN ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381233",
"telephone_number": "920-222-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEENEY",
"first_name": "CRAIG",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-16",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7030-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.