Organization Active NPI

All Seasons Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
National Provider Identifier
1396490132
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ALL SEASONS COUNSELING LLC
Practice address
1500 Merrill Ave Ste 3
Wausau, WI 54401-2590
Phone
(715) 571-4844
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Samantha Rae Wimmer, MSWNPI 1881180438
Title
Owner
Phone
(715) 571-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1500 Merrill Ave Ste 3
Wausau, WI 54401-2590

Mailing address

PO Box 2051
Wausau, WI 54402-2051
Phone (715) 571-4844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921003802 WI Part B Supplier - Clinic/Group Practice 1951786268 Receives reassigned benefits from 1 practitioner
Practice locations: Wausau, WI

National Provider Directory

National Provider Directory

Locations

1500 Merrill Ave
Ste 3
Wausau, WI 54401
Phone (715) 571-4844

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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1396490132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2051",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544022051",
            "telephone_number": "715-571-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MERRILL AVE STE 3",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012590",
            "telephone_number": "715-571-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "WIMMER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-571-4844",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "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 Feb 21, 2022; 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.