Active NPI
Mary K Sokup, LMF
- Marriage & Family Therapist
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 560124
- Practice address
- 2005 Highland Ave
Eau Claire, WI 54701-4455 - Phone
- (715) 832-5454
- Fax
- (715) 832-2991
- NPI assigned
- Apr 25, 2006
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 560124 | WI | Primary |
Addresses
Primary practice location
2005 Highland Ave
Eau Claire, WI 54701-4455
Mailing address
2005 Highland Ave
Eau Claire, WI 54701-4455
Phone (715) 832-5454
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6275964 | Other | MN | UBH |
| 6275964 | Other | MN | MEDICA |
| 637871026344 | Other | MN | PRESBYTERIAN HEALTH PLAN |
| 8H016SO | Other | MN | BCBS MN |
| 6275964 | Other | MN | UHC |
| 39777400 | Medicaid | WI | |
| 54161 | Other | WI | SECURITY HEALTH PLAN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 Highland Ave
Suite B
Eau Claire, WI 54701-4390
Phone (866) 559-3060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 560124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients | |
| Nystrom & Associates Counseling Wi., S.C. | Current | Accepting new patients |
Locations
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
2005 Highland Ave
Eau Claire, WI 54701
Phone 71583254541119
3703 Oakwood Hills Pkwy
Ste 100
Eau Claire, WI 54701
Phone (534) 444-4562
2005 Highland Ave
Ste B
Eau Claire, WI 54701
Phone (866) 559-3060
201 Main St
Ste 500
La Crosse, WI 54601
Phone (608) 668-4005
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- La Crosse, WI
- NPI 1659977866
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fargo, ND
- NPI 1104549047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1497711618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKUP",
"first_name": "MARY",
"middle_name": "K",
"credential": "LMF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "560124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6275964",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6275964",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "637871026344",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "8H016SO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "6275964",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39777400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "54161",
"state": "WI"
}
],
"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 May 6, 2008; 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.