Individual provider Active NPI

Megan R Bauer, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Spooner, WI
National Provider Identifier
1255915401
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19440-130 Issued in WI
Practice address
N4851 Highway 63
Spooner, WI 54801-8675
Phone
(715) 635-4858
NPI assigned
May 12, 2021
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19440-130 WI Primary

Addresses

Primary practice location

N4851 Highway 63
Spooner, WI 54801-8675

Mailing address

W7643 Rappy Lake Rd
Spooner, WI 54801-7831
Phone (715) 571-9401

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Auroraservices.com

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

LicenseStateTypeSpecialty
19440-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Counseling Centers Employee Support Systems, Inc. Addiction (Substance Use Disorder) CurrentSince Jan 20, 2020 Accepting new patients
Aurora Community Counseling Employee Support and Services, Inc. PastSince May 16, 2021 Accepting new patients

Locations

24248 State Road 35 70
Ste D
Siren, WI 54872
Phone (715) 349-7233

N4851 Highway 63
Spooner, WI 54801
Phone (715) 635-4858

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1255915401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7643 RAPPY LAKE RD",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548017831",
            "telephone_number": "715-571-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4851 HIGHWAY 63",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548018675",
            "telephone_number": "715-635-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MEGAN",
        "middle_name": "R",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19440-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Auroraservices.com",
            "affiliation": "N",
            "address_1": "N4851 Highway 63",
            "city": "Spooner",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548018675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.