Active NPI
Caroline Grace Corbett
- School Counselor
- Park Falls, WI
National Provider Identifier
1447091533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 3001022919
- Practice address
- 507 4TH Ave S
Park Falls, WI 54552-1124 - Phone
- (715) 661-2955
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3001022919 | WY | |
| School Counselor | 101YS0200X | 3001022919 | WI | Primary |
Addresses
Primary practice location
507 4TH Ave S
Park Falls, WI 54552-1124
Mailing address
507 4TH Ave S
Park Falls, WI 54552-1124
Phone (715) 661-2955
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3001022919 | WY | MD | Counselor |
| 3001022919 | WI | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1447091533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 4TH AVE S",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521124",
"telephone_number": "715-661-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 4TH AVE S",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521124",
"telephone_number": "715-661-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "CAROLINE",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "3001022919",
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "WI",
"license": "3001022919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.