Active NPI
Shareese Triplett, LPC
- Professional Counselor
- Monona, WI
National Provider Identifier
1487290078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6683-125
- Practice address
- 5900 Monona Dr Ste 200
Monona, WI 53716-3561 - Phone
- (608) 286-1132
- Fax
- (608) 440-2954
- NPI assigned
- Nov 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 6683-125 | WI | |
| Professional Counselor | 101YP2500X | 6683-125 | WI | Primary |
Addresses
Primary practice location
5900 Monona Dr Ste 200
Monona, WI 53716-3561
Mailing address
5900 Monona Dr Ste 200
Monona, WI 53716-3561
Phone (608) 286-1132
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6683-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599177600000",
"number": "1487290078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 MONONA DR STE 200",
"city": "MONONA",
"state": "WI",
"postal_code": "537163561",
"telephone_number": "608-286-1132",
"fax_number": "608-440-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 MONONA DR STE 200",
"city": "MONONA",
"state": "WI",
"postal_code": "537163561",
"telephone_number": "608-286-1132",
"fax_number": "608-440-2954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPLETT",
"first_name": "SHAREESE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2020-09-04",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "6683-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6683-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.