Individual provider Active NPI

Andrea Jayne Halvorson, MA, MT-BC, WMTR

  • Music Therapist
  • West Salem, WI
National Provider Identifier
1124464854
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Practice address
1537 Heritage Boulevard
West Salem, WI 54669-5466
Phone
(608) 304-7294
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X Primary

Addresses

Primary practice location

1537 Heritage Boulevard
West Salem, WI 54669-5466

Mailing address

1537 Heritage Boulevard
West Salem, WI 54669-7312
Phone (608) 304-7294

Other names 1

  • Andrea Jayne Hatleli Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Harmony Music Therapy, LLC Music Therapist CurrentSince Mar 16, 2021 Accepting new patients

Locations

1537 Heritage Blvd
West Salem, WI 54669
Phone (608) 786-3670

860 Mill St N
#2
West Salem, WI 54669
Phone (608) 799-4860

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1124464854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 HERITAGE BOULEVARD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546697312",
            "telephone_number": "608-304-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 HERITAGE BOULEVARD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546695466",
            "telephone_number": "608-304-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "ANDREA",
        "middle_name": "JAYNE",
        "credential": "MA, MT-BC, WMTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "HATLELI",
            "middle_name": "JAYNE",
            "credential": "MA, MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.