Nancy E. Peloquin, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

184-123 Issued in WI

Practice address

1000 Starr Ave
Eau Claire, WI 54703-1821

Phone

(715) 858-4850

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1285845859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 STARR AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031821",
            "telephone_number": "715-858-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOQUIN",
        "first_name": "NANCY",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "184-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39524300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Pederson, MD
• Johann M Peikert, MD
• Brooke Ann Pelke, PA-C
• Aaron Pelle
• Thomas P Peller, M.D.
• Suzette K Peltier, MD
• Megan Lynn Pena, CNM, NP
• Daniel David Penrice, MD
• Karilynn Peper, DDS
• Jacob John Pepper, LAMFT

• Mental Health Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.