Individual provider Active NPI

Barbara Hyde Stohl, LCSW,LMFT

  • Clinical Social Worker
  • Manitowoc, WI
National Provider Identifier
1487761581
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2484-123 Issued in WI
Practice address
115 E Waldo Blvd
Manitowoc, WI 54220-2907
Phone
(920) 682-1131
Fax
(920) 682-5087
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2484-123 WI Primary
Marriage & Family Therapist 106H00000X 611-124 WI

Addresses

Primary practice location

115 E Waldo Blvd
Manitowoc, WI 54220-2907

Mailing address

3120 Memorial Dr
Two Rivers, WI 54241-3229
Phone (920) 657-1784

Other identifiers 1

IdentifierTypeStateIssuer
40941000MedicaidWI

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

LicenseStateTypeSpecialty
611-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Psychological Services LLC Past Accepting new patients
Aurora Health Care Central, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1487761581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MEMORIAL DR",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542413229",
            "telephone_number": "920-657-1784",
            "fax_number": "920-657-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E WALDO BLVD",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202907",
            "telephone_number": "920-682-1131",
            "fax_number": "920-682-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOHL",
        "first_name": "BARBARA",
        "middle_name": "HYDE",
        "name_prefix": "Ms.",
        "credential": "LCSW,LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2484-123",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "611-124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40941000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.