Individual provider Active NPI

Allison B. Heeter-Condon, MA, LMFT

  • Marriage & Family Therapist
  • Hudson, WI
National Provider Identifier
1114161536
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1830 Issued in MN
Practice address
2217 Vine St
Suite 206
Hudson, WI 54016-5863
Phone
(715) 821-0833
Fax
(888) 802-9673
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1830 MN Primary
Marriage & Family Therapist 106H00000X 826-124 WI

Addresses

Primary practice location

2217 Vine St
Suite 206
Hudson, WI 54016-5863

Mailing address

2217 Vine St
Suite 206
Hudson, WI 54016-5863
Phone (715) 821-0833

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 Arts

State licenses

LicenseStateTypeSpecialty
826-124WIMDMarriage & Family Therapist
1830MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Couples & Family Therapy Center, LLC Marriage & Family Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1114161536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 VINE ST",
            "address_2": "SUITE 206",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165863",
            "telephone_number": "715-821-0833",
            "fax_number": "888-802-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 VINE ST",
            "address_2": "SUITE 206",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165863",
            "telephone_number": "715-821-0833",
            "fax_number": "888-802-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETER-CONDON",
        "first_name": "ALLISON",
        "middle_name": "B.",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1830",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "826-124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.