Individual provider Active NPI

John Cornelius Neupert, MS, CSAC, LCSW

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1336355460
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4080-123 Issued in WI
Practice address
5 Odana CT
Madison, WI 53719-1120
Phone
(608) 277-0610
Fax
(608) 270-6651
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1438-132 WI
Mental Health Counselor 101YM0800X 4080-123 WI Primary

Addresses

Primary practice location

5 Odana CT
Madison, WI 53719-1120

Mailing address

821 Northland Dr
Madison, WI 53704-1342
Phone (608) 249-7281

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

LicenseStateTypeSpecialty
1438-132WIMDAddiction (Substance Use Disorder) Counselor
4080-123WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336355460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NORTHLAND DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537041342",
            "telephone_number": "608-249-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ODANA CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191120",
            "telephone_number": "608-277-0610",
            "fax_number": "608-270-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPERT",
        "first_name": "JOHN",
        "middle_name": "CORNELIUS",
        "name_prefix": "Mr.",
        "credential": "MS, CSAC, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1438-132",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4080-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.