Individual provider Active NPI

Donald Michael Norman, PH.D., LPC, LMFT

  • Professional Counselor
  • Whitewater, WI
National Provider Identifier
1104918507
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2876-125 Issued in WI
Practice address
162 W Main St
Suite G
Whitewater, WI 53190-1995
Phone
(262) 473-5005
Fax
(262) 473-5005
NPI assigned
Sep 30, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2876-125 WI Primary
Marriage & Family Therapist 106H00000X 653-124 WI

Addresses

Primary practice location

162 W Main St
Suite G
Whitewater, WI 53190-1995

Mailing address

162 W Main St
Suite G
Whitewater, WI 53190-1995
Phone (262) 473-5005

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2876-125WIMDProfessional Counselor
653-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral & Family Therapy Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1104918507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 W MAIN ST",
            "address_2": "SUITE G",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901995",
            "telephone_number": "262-473-5005",
            "fax_number": "262-473-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W MAIN ST",
            "address_2": "SUITE G",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531901995",
            "telephone_number": "262-473-5005",
            "fax_number": "262-473-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2876-125",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "653-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.