Organization Active NPI

Music Therapy Services of Central Wisconsin, LLC

  • Specialist
  • Kronenwetter, WI
National Provider Identifier
1194081240
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14335 Issued in WI
Legal business name
MUSIC THERAPY SERVICES OF CENTRAL WISCONSIN, LLC
Practice address
1835 Deerwood TRL
Kronenwetter, WI 54455-8077
Phone
(715) 212-5086
NPI assigned
Apr 3, 2012
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Richelle Kroening, MT-BC, WMTRNPI 1346394749
Title
Owner
Phone
(715) 212-5086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14335 WI Primary
In Home Supportive Care Agency 253Z00000X 14335 WI

Addresses

Primary practice location

1835 Deerwood TRL
Kronenwetter, WI 54455-8077

Mailing address

PO Box 86
Mosinee, WI 54455-0086
Phone (715) 212-5086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1194081240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "MOSINEE",
            "state": "WI",
            "postal_code": "544550086",
            "telephone_number": "715-212-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DEERWOOD TRL",
            "city": "KRONENWETTER",
            "state": "WI",
            "postal_code": "544558077",
            "telephone_number": "715-212-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSIC THERAPY SERVICES OF CENTRAL WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "KROENING",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-212-5086",
        "authorized_official_credential": "MT-BC, WMTR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "14335",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "14335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kronenwetter, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.