Nickolas Daniel Fenn, LPC- IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

522 Gateway Ave Ste F
Mauston, WI 53948-1450

Phone

(608) 377-3864

Fax

(608) 716-3155

NPI assigned

Oct 1, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Heart Line Counseling and Consulting

  • Clinical Social Worker
  • Mauston, WI
  • NPI 1023728284
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1538033741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GATEWAY AVE STE F",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481450",
            "telephone_number": "608-377-3864",
            "fax_number": "608-716-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GATEWAY AVE STE F",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481450",
            "telephone_number": "608-377-3864",
            "fax_number": "608-716-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "NICKOLAS",
        "middle_name": "DANIEL",
        "credential": "LPC- IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigitte Espinoza, M.D
• Susan Ann Fabian, RN BSN
• Bram Christian Faledas, MS-LPC
• Rey F. Farne, MD
• Melanie R Feldman Gray, RN
• Kelly R. Firlus, SW
• Kristen Fischer
• Karen J Fitzgerald, RN
• Michelle Lavonne Floersch
• Carol L Fogleson, CSAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.