Organization Active NPI

Visions Counseling Inc

  • Clinical Social Worker
  • Merrill, WI
National Provider Identifier
1336324433
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VISIONS COUNSELING INC
Practice address
N2355 Smith Road
Merrill, WI 54452-9453
Phone
(715) 539-3580
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Ms. Gwendolyn Jayne Martell, MSW
Title
Agent Counselor
Phone
(715) 551-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X WI Primary

Addresses

Primary practice location

N2355 Smith Road
Merrill, WI 54452-9453

Mailing address

N2355 Smith Road
Merrill, WI 54452-9453
Phone (715) 539-3580

Other identifiers 1

IdentifierTypeStateIssuer
42248500MedicaidWI

Other names 1

  • Circle of Joy Wellness Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000754 WI Part B Supplier - Clinic/Group Practice 9537219571 Receives reassigned benefits from 1 practitioner
Practice locations: Merrill, WI

National Provider Directory

National Provider Directory

Locations

2801 N 7th St
Ste 400G
Wausau, WI 54403
Phone (715) 551-1970

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1336324433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2355 SMITH ROAD",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529453",
            "telephone_number": "715-539-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2355 SMITH ROAD",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544529453",
            "telephone_number": "715-539-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "AGENT COUNSELOR",
        "authorized_official_telephone_number": "715-551-1970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42248500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Joy Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrill, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.