Active NPI
Michelle A Koski, MS LPC
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1487848446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3525-125
- Practice address
- 601 Fall St
Eau Claire, WI 54703-3157 - Phone
- (888) 867-4840
- NPI assigned
- Sep 4, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3525-125 | WI | Primary |
Addresses
Primary practice location
601 Fall St
Eau Claire, WI 54703-3157
Mailing address
3800 N Mayfair Rd
Wauwatosa, WI 53222-2213
Phone (414) 536-8333
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3525-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1487848446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532222213",
"telephone_number": "414-536-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 FALL ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033157",
"telephone_number": "888-867-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "MICHELLE",
"middle_name": "A",
"credential": "MS LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3525-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.