North Star Counseling Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2451-057 Issued in WI

Legal business name

NORTH STAR COUNSELING SERVICES, LLC

Practice address

W175N11163 Stonewood Dr.
Suite 225
Germantown, WI 53022-6503

Phone

(262) 257-0500

NPI assigned

Jan 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darci Shook-Woolley, PSY.D.

Title

Clinical Psychologist

Phone

(262) 257-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1295715472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR.",
            "address_2": "SUITE 225",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226503",
            "telephone_number": "262-257-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR.",
            "address_2": "SUITE 225",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226503",
            "telephone_number": "262-257-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-22",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SHOOK-WOOLLEY",
        "authorized_official_first_name": "DARCI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-257-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2451-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43568200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward R Neisner, MPT
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• Daniel P Nommensen, LPC
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• Clinical Psychologist in Germantown, WI
• Providers in Germantown, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.