Organization Active NPI

Associated Counseling Services, Inc.

  • Group Psychotherapy Psychologist
  • Wausau, WI
National Provider Identifier
1104855279
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
2503 Issued in WI
Legal business name
ASSOCIATED COUNSELING SERVICES, INC.
Practice address
614 N 3Rd Ave
Suite a
Wausau, WI 54401-2913
Phone
(715) 848-3031
Fax
(715) 848-5008
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carol J Wesley, MS, LPC
Title
Co-Director
Phone
(715) 848-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X 2503 WI Primary

Addresses

Primary practice location

614 N 3Rd Ave
Suite a
Wausau, WI 54401-2913

Mailing address

PO Box 1721
Wausau, WI 54402-1721
Phone (715) 848-3031

Other identifiers 1

IdentifierTypeStateIssuer
42126700MedicaidWI

National Provider Directory

National Provider Directory

Locations

614 N 3rd Ave
Ste A
Wausau, WI 54401
Phone (715) 848-3031

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104855279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1721",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021721",
            "telephone_number": "715-848-3031",
            "fax_number": "715-848-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N 3RD AVE",
            "address_2": "SUITE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012913",
            "telephone_number": "715-848-3031",
            "fax_number": "715-848-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "715-848-3031",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "WI",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42126700",
            "state": "WI"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.