Frances M. Augustine, CSAC,ICS,IDP/AT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI 1417112780 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1417112780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 15510130 (WI)
- Practice address
- 810 W Olin Ave
Madison, WI 53715-2142 - Phone
- (608) 255-5922
- Fax
- (608) 255-0340
- NPI assigned
- Jul 25, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15510130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Haven Rebos United Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15510130 | WI | Yes |
Addresses
Primary practice location
810 W Olin Ave
Madison, WI 53715-2142
Mailing address
810 W Olin Ave
Madison, WI 53715-2142
Phone (608) 255-5922
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417112780 | Medicaid | WI |
Other providers in Madison, WI
- Audible Difference, LLC
- Emma Audley
- David D Aufhauser Jr.
- William D Aughenbaugh
- Arun Mathew Augustine
- Jeremy Aumann
- Patricia A Aune
- Aurelius LLC
- Sherilyn Aures
- Jennifer Aurit
All providers in Madison, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.