Individual provider Active NPI

Mary Elizabeth Markman, MA, LPC

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1184087884
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4599-125 Issued in WI
Practice address
510 E Wisconsin Ave
Suite #1
Appleton, WI 54911-4865
Phone
(920) 257-4601
Fax
(920) 257-4603
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4599-125 WI Primary

Addresses

Primary practice location

510 E Wisconsin Ave
Suite #1
Appleton, WI 54911-4865

Mailing address

N3819 Woodfield LN
New London, WI 54961-8644
Phone (920) 982-5703

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 Arts

State licenses

LicenseStateTypeSpecialty
4599-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections, LLC PastSince Jun 30, 2011 Accepting new patients

Organizations & group practices 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1184087884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3819 WOODFIELD LN",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549618644",
            "telephone_number": "920-982-5703",
            "fax_number": "920-982-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E WISCONSIN AVE",
            "address_2": "SUITE #1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114865",
            "telephone_number": "920-257-4601",
            "fax_number": "920-257-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4599-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.