Active NPI
Sue Marie Kaufmann, M.S.
- Professional Counselor
- Onalaska, WI
National Provider Identifier
1285835843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3310-125
- Practice address
- N5589 Commerce Rd
Ste.170a
Onalaska, WI 54650-9266 - Phone
- (507) 474-0966
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3310-125 | WI | Primary |
Addresses
Primary practice location
N5589 Commerce Rd
Ste.170a
Onalaska, WI 54650-9266
Mailing address
409 E Lake Blvd
Winona, MN 55987-5316
Phone (507) 474-0966
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3310-125 | Other | WI | LPC |
| 39708300 | Medicaid | WI | |
| 1241-121 | Other | WI | ADVANCED PRACTICE SW |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3310-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285835843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E LAKE BLVD",
"city": "WINONA",
"state": "MN",
"postal_code": "559875316",
"telephone_number": "507-474-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N5589 COMMERCE RD",
"address_2": "STE.170A",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546509266",
"telephone_number": "507-474-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "SUE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3310-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "3310-125",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39708300",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE SW",
"identifier": "1241-121",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.