Active NPI
Mary Anne Urlakis, M.A., PH.D.
- Pastoral Counselor
- Colgate, WI
National Provider Identifier
1336873942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 631 Violet CT
Colgate, WI 53017-9319 - Phone
- (262) 388-6216
- NPI assigned
- Jul 11, 2022
- Last updated
- Jul 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | NU | Primary | |
| Clinical Ethicist | 174V00000X | NU |
Addresses
Primary practice location
631 Violet CT
Colgate, WI 53017-9319
Mailing address
631 Violet CT
Colgate, WI 53017-9319
Phone (262) 388-6216
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 Arts, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1336873942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 VIOLET CT",
"city": "COLGATE",
"state": "WI",
"postal_code": "530179319",
"telephone_number": "262-388-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 VIOLET CT",
"city": "COLGATE",
"state": "WI",
"postal_code": "530179319",
"telephone_number": "262-388-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URLAKIS",
"first_name": "MARY ANNE",
"name_prefix": "Dr.",
"credential": "M.A., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174V00000X",
"taxonomy_group": "",
"desc": "Clinical Ethicist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colgate, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.