Active NPI
Annique Renee Cohen-Wichner, L.M.F.T.
- Marriage & Family Therapist
- Stoughton, WI
National Provider Identifier
1174950778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 705-124
- Practice address
- 2655 County Road BN
Stoughton, WI 53589-2914 - Phone
- (608) 347-2392
- NPI assigned
- Sep 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 705-124 | WI | Primary |
Addresses
Primary practice location
2655 County Road BN
Stoughton, WI 53589-2914
Mailing address
2655 County Road BN
Stoughton, WI 53589-2914
Phone (608) 347-2392
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 |
|---|---|---|---|
| 705-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380240000000",
"number": "1174950778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 COUNTY ROAD BN",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892914",
"telephone_number": "608-347-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 COUNTY ROAD BN",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535892914",
"telephone_number": "608-347-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN-WICHNER",
"first_name": "ANNIQUE",
"middle_name": "RENEE",
"credential": "L.M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-27",
"last_updated": "2013-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "705-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.