Lisa Jo Weber Sedlak, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

660124 Issued in WI

Practice address

2600 65TH Ave
Osceola, WI 54020

Phone

(715) 294-4752

NPI assigned

Jun 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Lisa Jo Weber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Journey Points Therapy Services

  • Marriage & Family Therapist
  • Osceola, WI
  • NPI 1821011545
  NPD (past) Authorized official

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1194986588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540250217",
            "telephone_number": "715-247-2802",
            "fax_number": "715-247-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-294-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDLAK",
        "first_name": "LISA",
        "middle_name": "JO WEBER",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "660124",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1054",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "810583378018",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "506S1SE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE - MEDICA",
            "identifier": "6268361",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "91529",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WEBER",
            "middle_name": "JO",
            "credential": "M. S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Brian Schletty, D.D.S.
• School District of Osceola
• Michelle Lynn Schorn, FNP-BC
• Kayli Jo Schounard, IBCLC
• Jill Andrea Schwebach, MS, CCC-SLP
• Robert Seiberlich, DPT
• Erik A Severson, MD
• Shoreview Family Dental PLLC
• Nicole Rae Smith, M.D.
• Rebecca Smith

• All providers in Osceola, WI
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.