Individual provider Active NPI

Chloe Nylund, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Wausau, WI
National Provider Identifier
1346951225
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1705-131 Issued in WI
Practice address
731 N 1St St Ste 5000
Wausau, WI 54403-4727
Phone
(715) 675-3458
NPI assigned
Dec 12, 2022
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 20048-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 1705-131 WI Primary

Addresses

Primary practice location

731 N 1St St Ste 5000
Wausau, WI 54403-4727

Mailing address

731 N 1St St Ste 5000
Wausau, WI 54403-4727
Phone (715) 848-4884

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

State licenses

LicenseStateTypeSpecialty
1705-131WIMDAddiction (Substance Use Disorder) Counselor
20048-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Solutions Counseling CurrentSince Dec 18, 2022 Accepting new patients
Primary Connection Health Care, Inc. PastSince Dec 18, 2022 Accepting new patients

Locations

731 N 1st St
Ste 5000
Wausau, WI 54403
Phone (715) 675-3458

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1346951225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N 1ST ST STE 5000",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034727",
            "telephone_number": "715-848-4884",
            "fax_number": "715-675-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N 1ST ST STE 5000",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034727",
            "telephone_number": "715-675-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLUND",
        "first_name": "CHLOE",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20048-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1705-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.