John Paul, PH.D., L.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4417 Issued in WI

Practice address

1500 N 34TH St Ste 300
Superior, WI 54880-4476

Phone

(218) 464-3057

Fax

(888) 724-4599

NPI assigned

May 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Paul Industries LLC

  • Mental Health Counselor
  • Superior, WI
  • NPI 1588551865
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134656820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "address_2": "UNIVERSITY OF WISCONSIN-SUPERIOR, SWENSON 2060",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804500",
            "telephone_number": "715-394-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N 34TH ST STE 300",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548804476",
            "telephone_number": "218-464-3057",
            "fax_number": "888-724-4599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Swenson 2060",
            "address_2": "University of Wisconsin-Superior",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "WI",
            "postal_code": "548809948",
            "country_code": "US",
            "telephone_number": "715-394-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Paine, RPH
• Katherine Marie Panula, LPC
• Timothy Lloyd Panula, LPC
• Kelly Kristine Parish-Larson, RN, CNP
• Paul Industries LLC
• Angela Penney, LPC
• Celeste Pennington, LCSW
• Michele Denise Perron, PHD
• Chad M Peterson, PT
• Christine Jo Peterson, MPT

• Mental Health Counselor in Superior, WI
• Providers in Superior, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.