Active NPI
Marcy Drummy, MS, LPC
- Professional Counselor
- Port Washington, WI
National Provider Identifier
1104373323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6026-125
- Practice address
- 1317 W Grand Ave
Port Washington, WI 53074-2075 - Phone
- (262) 284-5789
- Fax
- (262) 284-5907
- NPI assigned
- Sep 6, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6026-125 | WI | Primary |
Addresses
Primary practice location
1317 W Grand Ave
Port Washington, WI 53074-2075
Mailing address
1317 W Grand Ave
Port Washington, WI 53074-2075
Phone (262) 284-5789
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6026-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1104373323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 W GRAND AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742075",
"telephone_number": "262-284-5789",
"fax_number": "262-284-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 W GRAND AVE",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742075",
"telephone_number": "262-284-5789",
"fax_number": "262-284-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUMMY",
"first_name": "MARCY",
"credential": "MS, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6026-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.