Amy Lynn Bauer, LPC
Individual provider Active NPI Professional Counselor · Madison, WI
NPI 1104940360 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1104940360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4371 (WI)
- Practice address
- 6001 Research Park Blvd
Madison, WI 53719-1176 - Phone
- (608) 263-6100
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
2275 Deming Way
Suite 180
Middleton, WI 53562-5527
Phone (608) 282-8200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240123001344 | WI | Practitioner - Mental Health Counselor | 9234581505 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4371 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients |
Locations
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
6001 Research Park Blvd
Madison, WI 53719
Phone (608) 232-3171
2275 Deming Way
Ste 180
Middleton, WI 53562
Phone (608) 282-8200
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Interoperability endpoints
- abauer427857@direct.uwhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 4371 | WI | Yes |
Addresses
Primary practice location
6001 Research Park Blvd
Madison, WI 53719-1176
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other providers in Madison, WI
- Rebecca M Batty
- Elizabeth Mary Batz
- Erik S Bauch
- Adam Steven Bauer
- Allison Bauer
- James W Bauer
- Janet Lee Bauer
- Jennifer Morgan Bauer
- Marcy Lynn Bauer
- Matthew James Bauer
All providers in Madison, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.