Individual provider Active NPI

Julia K Niver, MS, CADC III

  • Professional Counselor
  • Plymouth, WI
National Provider Identifier
1124045190
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3978990MedicaidWI
13648OtherNETWORK HEALTH PLAN
390806395OtherCIGNA

Other names 1

  • Julia K Halloran Former name

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

LicenseStateTypeSpecialty
3459-125WIMDMental Health Counselor
2322WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Life Point Counseling, LLC CurrentSince Dec 26, 2021 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.

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

Verify at the official NPI Registry.