Timothy Swanson, MS, LCPC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5120-125 Issued in WI

Practice address

1 1/2 W Geneva St
Elkhorn, WI 53121-1722

Phone

(262) 723-3424

Fax

(262) 723-8308

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• American Behavioral Clinics, SC

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1144313859
  NPD (past)
• Credence Therapy Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1487648663
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1124039367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TIMOTHY",
        "credential": "MS, LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5120-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-000950",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124039367",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AMERICA",
            "identifier": "5615096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Lea Stern RN, RN
• James F Stewart II, MD
• Seve Strook, DPT
• Michele Stueve, M.D.
• Jacqueline Mary Sullivan
• Joseph Sweeney, PHARMD, BCPS
• Fares W Sweis, MD
• Martin Tanhaei
• Sonya Tesch, PTA
• Gregg E Thatcher, CRNA

• All providers in Elkhorn, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.