Jonathan Michael Ward, BSP, MBA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

123456 Issued in WI

Practice address

505 Broadway St
Baraboo, WI 53913-2183

Phone

(608) 355-4289

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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.

• County of Sauk

  dba Sauk County Department of Human Services

  • Community/Behavioral Health Agency
  • Baraboo, WI
  • NPI 1508915323
  NPD (past)
• Sauk County Department of Human Services

  • Speech-Language Pathologist
  • Baraboo, WI
  • NPI 1710522792
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1356815872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539130029",
            "telephone_number": "608-355-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132183",
            "telephone_number": "608-355-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "BSP, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #07882)
• Blake Walters, D.C.
• Rene A Walters, RD
• Valerie Walton, BS, RBT
• Blake R Ward
• Kaela Lee Warner
• Kelsi Watson
• Wayne a Johansen (Physical Therapy Services)
• Paul Benjamin Webb, OD
• Devin L Webster, MSW, APSW

• Counselor in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.