Active NPI
Julia K Niver, MS, CADC III
- Professional Counselor
- Plymouth, WI
National Provider Identifier
1124045190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 2209 Eastern Ave
Plymouth, WI 53073-4281 - Phone
- (920) 892-7606
- Fax
- (920) 449-4247
- NPI assigned
- Jul 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2322 | WI | |
| Mental Health Counselor | 101YM0800X | 3459-125 | WI | |
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2209 Eastern Ave
Plymouth, WI 53073-4281
Mailing address
2209 Eastern Ave
Plymouth, WI 53073-4281
Phone (920) 892-7606
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3978990 | Medicaid | WI | |
| 13648 | Other | NETWORK HEALTH PLAN | |
| 390806395 | Other | CIGNA |
Other names 1
- Julia K Halloran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 13, 2026 through Jan 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3459-125 | WI | MD | Mental Health Counselor |
| 2322 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Point Counseling, LLC | Current | Accepting new patients |
Locations
2209 Eastern Ave
Plymouth, WI 53073
Phone (920) 449-4247
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plymouth, WI
- NPI 1407097371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1124045190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734281",
"telephone_number": "920-892-7606",
"fax_number": "920-449-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 EASTERN AVE",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530734281",
"telephone_number": "920-892-7606",
"fax_number": "920-449-4247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIVER",
"first_name": "JULIA",
"middle_name": "K",
"credential": "MS, CADC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "2322",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3459-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3978990",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH PLAN",
"identifier": "13648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "390806395",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "HALLORAN",
"middle_name": "K",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.