Carmen Sperle, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7196-125 Issued in WI

Practice address

3436 County Road a
Stoughton, WI 53589-3906

Phone

(608) 215-2018

NPI assigned

Nov 24, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

212 Psychotherapy LLCGroup PAC ID 9234547829, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 212 Psychotherapy LLC

  • Professional Counselor
  • Madison, WI
  • NPI 1053941666
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1487311452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 COUNTY ROAD A",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893906",
            "telephone_number": "608-215-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 COUNTY ROAD A",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893906",
            "telephone_number": "608-215-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLE",
        "first_name": "CARMEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7196-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "STOUGHTON",
            "affiliation": "N",
            "endpointDescription": "home office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3436 County Rd A",
            "city": "STOUGHTON",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tenneh Moibah Soko, LPN
• Karen Sorenson-Lavalley, PA-C
• Kristi L Sorenson, RN
• Mychala R Spang, DC
• Jaime Lyn Spaulding, D.D.S.
• Stephanie Ann Spieker
• Rebecca Lynne Spinsky, PTA
• Daniel J Staddler, MD
• Shelby Ann Stapelfeldt, LPN
• Kellie Ann Steckbauer, BSN, RN

• Professional Counselor in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.