Mary Bernadette Barney, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1715 Issued in WI

Practice address

N2150 Kesaehkahtek
Gresham, WI 54128

Phone

(715) 799-3835

Fax

(715) 799-3836

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1447425145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2150 KESAEHKAHTEK RD",
            "city": "GRESHAM",
            "state": "WI",
            "postal_code": "541289602",
            "telephone_number": "715-799-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2150 KESAEHKAHTEK",
            "city": "GRESHAM",
            "state": "WI",
            "postal_code": "54128",
            "telephone_number": "715-799-3835",
            "fax_number": "715-799-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNEY",
        "first_name": "MARY",
        "middle_name": "BERNADETTE",
        "name_prefix": "Ms.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39367500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronaele M Clasen, SAC-IT
• Natalie Cornelius, 15990132 CSAC
• Gresham School District
• Ashley Hebert
• Kyla Jean Heiman, RN

• Addiction (Substance Use Disorder) Counselor in Gresham, WI
• Providers in Gresham, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.