Active NPI
Emma Bemlott
- Professional Counselor
- Shell Lake, WI
National Provider Identifier
1124800172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8212-226
- Practice address
- 600 E County Highway B
Shell Lake, WI 54871-8754 - Phone
- (715) 468-2841
- NPI assigned
- Oct 16, 2023
- Last updated
- Nov 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8212-226 | WI | Primary |
Addresses
Primary practice location
600 E County Highway B
Shell Lake, WI 54871-8754
Mailing address
2121 Hughitt Ave
Superior, WI 54880-4916
Phone (218) 220-9230
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8212-226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Services, Inc. | Current | Accepting new patients |
Locations
3712 Tower Ave
Ste C
Superior, WI 54880
Phone (218) 355-8388
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shell Lake, WI
- NPI 1437571569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731801600000",
"number": "1124800172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HUGHITT AVE",
"city": "SUPERIOR",
"state": "WI",
"postal_code": "548804916",
"telephone_number": "218-220-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 E COUNTY HIGHWAY B",
"city": "SHELL LAKE",
"state": "WI",
"postal_code": "548718754",
"telephone_number": "715-468-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEMLOTT",
"first_name": "EMMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-16",
"last_updated": "2024-11-17",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8212-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shell Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.