Paul David Workman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8268-125 Issued in WI

Practice address

600 W Shell Creek Rd
Minong, WI 54859-9302

Phone

(715) 466-2201

NPI assigned

Sep 11, 2017

Sex

Male

Sole proprietor

No

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.

• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Iron River, WI
  • NPI 1811178825

  WI

  Medicare reassignment Care Compare group NPD
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, WI
  • NPI 1053155481
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Oconto, WI
  • NPI 1073956223
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Cumberland, WI
  • NPI 1174247688
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Eau Claire, WI
  • NPI 1316797624
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Park Falls, WI
  • NPI 1437619202
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hurley, WI
  • NPI 1437719267
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Marinette, WI
  • NPI 1518690841
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Hayward, WI
  • NPI 1659884716
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Birchwood, WI
  • NPI 1750878542
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Rice Lake, WI
  • NPI 1780407700
  Care Compare group
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ashland, WI
  • NPI 1841742673
  Care Compare group

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Lakes Community Health Center Inc 104 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497274591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13380 W TREPANIA RD",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548432186",
            "telephone_number": "715-638-5105",
            "fax_number": "715-634-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SHELL CREEK RD",
            "city": "MINONG",
            "state": "WI",
            "postal_code": "548599302",
            "telephone_number": "715-466-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13380 W Trepania Rd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "WI",
            "postal_code": "548432186",
            "country_code": "US",
            "telephone_number": "715-638-5105",
            "fax_number": "715-634-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3651-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8268-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard R Scott Jr., LAC
• The Lakes Community Health Center, Inc
• The Lakes Community Health Center, Inc
• The Lakes Community Health Center, Inc
• Dodson W Thompson, D.O.

• All providers in Minong, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.