Active NPI
Edward A Merz, LPC
- Professional Counselor
- Mauston, WI
National Provider Identifier
1154378446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3964-125
- Practice address
- 200 Hickory Street
Mauston, WI 53948-2101 - Phone
- (608) 847-2400
- Fax
- (608) 847-9599
- NPI assigned
- May 30, 2006
- Last updated
- Dec 28, 2021
- Sex
- Male
- 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 | 3964-125 | WI | Primary |
Addresses
Primary practice location
200 Hickory Street
Mauston, WI 53948-2101
Mailing address
200 Hickory Street
Mauston, WI 53948-2101
Phone (608) 847-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154378446 | Medicaid | WI |
Other names 1
- Ed A Merz
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 |
|---|---|---|---|
| 3964-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1154378446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HICKORY STREET",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539482101",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HICKORY STREET",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539482101",
"telephone_number": "608-847-2400",
"fax_number": "608-847-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERZ",
"first_name": "EDWARD",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3964-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154378446",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ED",
"last_name": "MERZ",
"middle_name": "A",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.