Organization Active NPI

Looking Glass Counseling, LLC

  • Clinical Social Worker
  • Oshkosh, WI
National Provider Identifier
1275281909
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOOKING GLASS COUNSELING, LLC
Practice address
404 N Main St Ste 512
Oshkosh, WI 54901-4952
Phone
(920) 267-0137
Fax
(920) 232-1395
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Ms. Nicole Ann Millerd, MSW, LCSWNPI 1285222190
Title
Owner/Pscyhotherapist
Phone
(920) 267-0137

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

404 N Main St Ste 512
Oshkosh, WI 54901-4952

Mailing address

404 N Main St Ste 512
Oshkosh, WI 54901-4952
Phone (920) 267-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250729003408 WI Part B Supplier - Clinic/Group Practice 3779090253 Receives reassigned benefits from 1 practitioner
Practice locations: Oshkosh, WI

National Provider Directory

National Provider Directory

Locations

404 N Main St
Ste 512
Oshkosh, WI 54901
Phone (920) 267-0137

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1275281909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST STE 512",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014952",
            "telephone_number": "920-267-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST STE 512",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014952",
            "telephone_number": "920-267-0137",
            "fax_number": "920-232-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING GLASS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "MILLERD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PSCYHOTHERAPIST",
        "authorized_official_telephone_number": "920-267-0137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.