Individual provider Active NPI

Amy Marie Plum, MS, LPC

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1144588369
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4233-125 Issued in WI
Practice address
101 W Broadway FL 2
Waukesha, WI 53186-4833
Phone
(262) 547-5567
Fax
(262) 547-1608
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4233-125 WI Primary

Addresses

Primary practice location

101 W Broadway FL 2
Waukesha, WI 53186-4833

Mailing address

1226 S Waterville Rd
Oconomowoc, WI 53066-9259
Phone (262) 271-2804

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 Science

State licenses

LicenseStateTypeSpecialty
4233-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Agency of Waukesha County Inc Mental Health PastSince Jul 24, 2022 Accepting new patients
Family Services of Waukesha Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1144588369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S WATERVILLE RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530669259",
            "telephone_number": "262-271-2804",
            "fax_number": "262-303-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY FL 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-5567",
            "fax_number": "262-547-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUM",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4233-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.