Individual provider Active NPI

Lorena W Severson, SAC-IT, MSW, CAPSW

  • Mental Health Counselor
  • Lancaster, WI
National Provider Identifier
1265183032
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
129299 Issued in WI
Practice address
200 W Alona LN
Lancaster, WI 53813-2202
Phone
(608) 723-6357
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 129299 WI Primary

Addresses

Primary practice location

200 W Alona LN
Lancaster, WI 53813-2202

Mailing address

200 W Alona LN
Lancaster, WI 53813-2202
Phone (608) 723-6357

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LANCASTER Direct

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
129299WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Grant Dba Unified Community Services Past 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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1265183032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202",
            "telephone_number": "608-723-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202",
            "telephone_number": "608-723-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERSON",
        "first_name": "LORENA",
        "middle_name": "W",
        "credential": "SAC-IT,  MSW, CAPSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "129299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LANCASTER",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 W Alona Ln",
            "city": "Lancaster",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538132202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.