Active NPI
Paige Odegard, MA PSYCHOLOGY
- Case Manager/Care Coordinator
- Mauston, WI
National Provider Identifier
1114557691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- Juneau Co. Dept of Human Services
200 Hickory Street
Mauston, WI 53948 - Phone
- (608) 847-2400
- Fax
- (608) 847-9599
- NPI assigned
- Jan 23, 2020
- Last updated
- Jan 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
Juneau Co. Dept of Human Services
200 Hickory Street
Mauston, WI 53948
Mailing address
Juneau Co. Dept of Human Services
200 Hickory Street
Mauston, WI 53948
Phone (608) 847-2400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1114557691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JUNEAU CO. DEPT OF HUMAN SERVICES",
"address_2": "200 HICKORY STREET",
"city": "MAUSTON",
"state": "WI",
"postal_code": "53948",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JUNEAU CO. DEPT OF HUMAN SERVICES",
"address_2": "200 HICKORY STREET",
"city": "MAUSTON",
"state": "WI",
"postal_code": "53948",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODEGARD",
"first_name": "PAIGE",
"credential": "MA PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.