Julie Ann Berosik, MFT IT
Individual provider Active NPI Marriage & Family Therapist · New Richmond, WI
NPI 1205428265 · NPPES record last updated Feb 10, 2021
Key facts
- NPI
- 1205428265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 766-228 (WI)
- Practice address
- 150 W 1St St # St270
New Richmond, WI 54017-1742 - Phone
- (715) 246-4840
- Fax
- (715) 254-9459
- NPI assigned
- Feb 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 766-228 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Therapy Associates, LLC | Current |
Accepting new patients | |
| Peace Tree Counseling LLC | Past | Accepting new patients |
Locations
150 W 1st St
Ste 270
New Richmond, WI 54017
Phone 7152464840130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 766-228 | WI | Yes |
Addresses
Primary practice location
150 W 1St St # St270
New Richmond, WI 54017-1742
Mailing address
150 W 1St St # St270
New Richmond, WI 54017-1742
Phone (715) 246-4840
Other providers in New Richmond, WI
- Ashley E Barthol
- Emily Ann Bechel
- April Lynn Becker
- David Mark Bell
- Jacob Allen Benrud
- Jessica L Bethke
- Lavanya Bhoopathy
- Christina Jean Bichner
- Holly L Bjerke
- Taylor Blackman
All providers in New Richmond, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.