Erik Lee Bottlemy, SAC-IT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20485-130 Issued in WI

Practice address

1905 S Central Ave
Marshfield, WI 54449-4917

Phone

(715) 898-1665

NPI assigned

Feb 1, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Gateways Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marshfield, WI
  • NPI 1811489206

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1295598373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 S CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494917",
            "telephone_number": "715-898-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S CENTRAL AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494917",
            "telephone_number": "715-898-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTLEMY",
        "first_name": "ERIK",
        "middle_name": "LEE",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20485-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Bolanos, SLP
• Frederic W Bollow, MD
• Darayu C Boltaeva, DMS, PA-C
• Kristine M. Boon, LAT
• Jessica Kaylea Boson, LCSW
• Emily A Bourg, COTA
• Jordan Elizabeth Bowe
• Isaac Chris Boyack, M.D.
• Thomas George Boyce, MD
• Timothy R Boyle, MD

• Addiction (Substance Use Disorder) Counselor in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.