Active NPI
Cynthia Kay Chelcun, LPC
- Professional Counselor
- Stevens Point, WI
National Provider Identifier
1497899686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1127-125
- Practice address
- 1052 Main St
Suite 202
Stevens Point, WI 54481-2848 - Phone
- (715) 343-5256
- NPI assigned
- Feb 19, 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 | 1127-125 | WI | Primary |
Addresses
Primary practice location
1052 Main St
Suite 202
Stevens Point, WI 54481-2848
Mailing address
3157 N Shore Dr
Stevens Point, WI 54481-9563
Phone (715) 252-1863
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39295000 | Medicaid | WI |
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 |
|---|---|---|---|
| 1127-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497899686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 N SHORE DR",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544819563",
"telephone_number": "715-252-1863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1052 MAIN ST",
"address_2": "SUITE 202",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "544812848",
"telephone_number": "715-343-5256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELCUN",
"first_name": "CYNTHIA",
"middle_name": "KAY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1127-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39295000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.