Active NPI
Carol A Erdman, LCSW, CADCIII
- Marriage & Family Therapist
- Fort Atkinson, WI
National Provider Identifier
1124101951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 335 Whitewater Ave
Fort Atkinson, WI 53538-2253 - Phone
- (920) 691-0200
- Fax
- (920) 691-0201
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 10916 | WI | |
| Clinical Social Worker | 1041C0700X | 3697-123 | WI | |
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
335 Whitewater Ave
Fort Atkinson, WI 53538-2253
Mailing address
335 Whitewater Ave
Fort Atkinson, WI 53538-2253
Phone (920) 691-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39799300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1315 W Main St
Watertown, WI 53094-3564
Phone 92026141002170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10916 | WI | MD | Professional Counselor |
| 3697-123 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Resources Associates Inc | Current | Accepting new patients | |
| Family Resources Associates Inc | Past | Accepting new patients |
Locations
1315 W Main St
Watertown, WI 53094
Phone (920) 261-4100
Organizations & group practices 2
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 Counselor
- Jefferson, WI
- NPI 1497960645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124101951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 WHITEWATER AVE",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535382253",
"telephone_number": "920-691-0200",
"fax_number": "920-691-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 WHITEWATER AVE",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535382253",
"telephone_number": "920-691-0200",
"fax_number": "920-691-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMAN",
"first_name": "CAROL",
"middle_name": "A",
"credential": "LCSW, CADCIII",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "10916",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3697-123",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39799300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Atkinson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.