Active NPI
Mark Alan Wierschke, MS, LPC
- Professional Counselor
- La Crosse, WI
National Provider Identifier
1306067376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3284-125
- Practice address
- 319 Main St.
Suite 302
La Crosse, WI 54601 - Phone
- (608) 796-1168
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3284-125 | WI | Primary |
Addresses
Primary practice location
319 Main St.
Suite 302
La Crosse, WI 54601
Mailing address
490 Wagon Dr.
West Salem, WI 54669
Phone (608) 786-4475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40960900 | Medicaid | WI |
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 |
|---|---|---|---|
| 3284-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306067376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 WAGON DR.",
"city": "WEST SALEM",
"state": "WI",
"postal_code": "54669",
"telephone_number": "608-786-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 MAIN ST.",
"address_2": "SUITE 302",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "54601",
"telephone_number": "608-796-1168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIERSCHKE",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3284-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40960900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.