Active NPI
Natalia Ottesen, LPC
- Professional Counselor
- Thiensville, WI
National Provider Identifier
1497183107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4959-125
- Practice address
- 122 Green Bay Rd Ste 3
Thiensville, WI 53092-1679 - Phone
- (262) 241-9881
- NPI assigned
- Oct 16, 2013
- Last updated
- Oct 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4959-125 | WI | Primary |
Addresses
Primary practice location
122 Green Bay Rd Ste 3
Thiensville, WI 53092-1679
Mailing address
614 W Morningside CT
Saukville, WI 53080-2228
Phone (262) 268-0468
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 |
|---|---|---|---|
| 4959-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1497183107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 W MORNINGSIDE CT",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530802228",
"telephone_number": "262-268-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 GREEN BAY RD STE 3",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921679",
"telephone_number": "262-241-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTESEN",
"first_name": "NATALIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4959-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thiensville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.