Individual provider Active NPI

Karissa Meyer, MS PC

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1164973970
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3255226 Issued in WI
Practice address
2925 Mondovi Rd
Eau Claire, WI 54701
Phone
(715) 832-0238
Fax
(715) 832-0771
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X 3255226 WI Primary

Addresses

Primary practice location

2925 Mondovi Rd
Eau Claire, WI 54701

Mailing address

2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238

Other practice location 1

2501 Hanley Rd
Suite 202
Hudson, WI 54016-8705
Phone (715) 381-1980

Other practice location 2

132 W Columbia St
Chippewa Falls, WI 54729-2347
Phone (715) 726-9208

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240207002116 WI Practitioner - Mental Health Counselor 1658714506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collaborative Counseling LLCGroup PAC ID 3678711900, 43 clinicians

Practice addresses (Care Compare)

901 4TH St
Hudson, WI 54016-1681
Phone (763) 210-9966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3255226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Marriage & Family Health Services, LTD. Mental Health Past Accepting new patients
Refresh Midwest Operations, SC Past Accepting new patients

Locations

12918 63rd Ave N
Maple Grove, MN 55369
Phone (952) 999-1959

3610 Oakwood Mall Dr
Ste 203
Eau Claire, WI 54701

901 4th St
Hudson, WI 54016
Phone (651) 492-8498

Organizations & group practices 3

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1164973970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016141",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Hanley Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540168705",
            "country_code": "US",
            "telephone_number": "715-381-1980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 W Columbia St",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547292347",
            "country_code": "US",
            "telephone_number": "715-726-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KARISSA",
        "credential": "MS PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3255226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.