Individual provider Active NPI

Valerie M Rung, MA, LPC-IT

  • Mental Health Counselor
  • Baraboo, WI
National Provider Identifier
1437698305
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4235-125 Issued in WI
Practice address
840 State Road 136 Ste 1
Baraboo, WI 53913-9252
Phone
(608) 477-9858
Fax
(877) 560-0578
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4235-125 WI Primary

Addresses

Primary practice location

840 State Road 136 Ste 1
Baraboo, WI 53913-9252

Mailing address

840 State Road 136 Ste 1
Baraboo, WI 53913-9252
Phone (608) 477-9858

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

State licenses

LicenseStateTypeSpecialty
4235-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Innervisions Counseling & Consulting Center, S.C. CurrentSince Apr 25, 2021 Accepting new patients
Seasons Counseling, LLC Past Accepting new patients

Locations

840 State Road 136
Ste 1
Baraboo, WI 53913
Phone (608) 477-9858

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1437698305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STATE ROAD 136 STE 1",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539139252",
            "telephone_number": "608-477-9858",
            "fax_number": "877-560-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNG",
        "first_name": "VALERIE",
        "middle_name": "M",
        "credential": "MA, LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4235-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.