Active NPI
Anntionette M Feller, CSAC
- Addiction (Substance Use Disorder) Counselor
- Eau Claire, WI
National Provider Identifier
1134187750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13209
- Practice address
- 2005 Highland Ave
Eau Claire, WI 54701-4455 - Phone
- (715) 832-5454
- Fax
- (715) 832-2991
- NPI assigned
- May 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13209 | WI | Primary |
| Counselor | 101Y00000X | NA |
Addresses
Primary practice location
2005 Highland Ave
Eau Claire, WI 54701-4455
Mailing address
2005 Highland Ave
Eau Claire, WI 54701-4455
Phone (715) 832-5454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56001 | Other | WI | SECURITY HEALTH PLAN |
| 39374200 | Medicaid | WI | |
| 637871032291 | Other | MN | PREFERRED ONE |
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 |
|---|---|---|---|
| 13209 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1134187750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLER",
"first_name": "ANNTIONETTE",
"middle_name": "M",
"credential": "CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "13209",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "NA",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "56001",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39374200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "637871032291",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.