Active NPI
Caroline Marlow
- Professional Counselor
- Hudson, WI
National Provider Identifier
1477868826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5153-125
- Practice address
- 701 2ND St
Hudson, WI 54016-1515 - Phone
- (715) 781-9973
- NPI assigned
- Aug 10, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5153-125 | WI | |
| Professional Counselor | 101YP2500X | 5153-125 | WI | Primary |
Addresses
Primary practice location
701 2ND St
Hudson, WI 54016-1515
Mailing address
1738 97TH Ave
Hammond, WI 54015-5050
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 |
|---|---|---|---|
| 5153-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1477868826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 97TH AVE",
"city": "HAMMOND",
"state": "WI",
"postal_code": "540155050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 2ND ST",
"city": "HUDSON",
"state": "WI",
"postal_code": "540161515",
"telephone_number": "715-781-9973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOW",
"first_name": "CAROLINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2021-03-26",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "5153-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5153-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.