Individual provider Active NPI

Carolyn Stewart Muir, LPC, PHD

  • Mental Health Counselor
  • Wausau, WI
National Provider Identifier
1114080256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
993-125 Issued in WI
Practice address
300 3Rd St
Suite 207
Wausau, WI 54403-5458
Phone
(715) 848-5022
Fax
(715) 848-2030
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 993-125 WI Primary

Addresses

Primary practice location

300 3Rd St
Suite 207
Wausau, WI 54403-5458

Mailing address

E3092 Thornapple Creek Rd
Aniwa, WI 54408-9642
Phone (715) 446-2990

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
993-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114080256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E3092 THORNAPPLE CREEK RD",
            "city": "ANIWA",
            "state": "WI",
            "postal_code": "544089642",
            "telephone_number": "715-446-2990",
            "fax_number": "715-848-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD ST",
            "address_2": "SUITE 207",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035458",
            "telephone_number": "715-848-5022",
            "fax_number": "715-848-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUIR",
        "first_name": "CAROLYN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "LPC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "993-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.