Stanley Kenneth Nielsen, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150-123 Issued in WI

Practice address

5900 Monona Dr Ste 100
5900 Monona Dr., Suite 100
Monona, WI 53716-3556

Phone

(608) 663-0763

Fax

(608) 663-0765

NPI assigned

Sep 23, 2009

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Samaritan Counseling Center

  • Adult Mental Health Clinic/Center
  • Monona, WI
  • NPI 1205077427
  NPD (past)
• Samaritan Counseling Center of Southern Wisconsin Inc

  dba Samaritan Counseling Center of Southern Wisconsin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
  • NPI 1962544353
  NPD (past)

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1568796563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DRIVE, SUITE 100-SAMARITAN CONSELING CENTER",
            "address_2": "5900 MONONA DR., SUITE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "address_2": "5900 MONONA DR., SUITE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763",
            "fax_number": "608-663-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "STANLEY",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "150-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Monona, WI
• Providers in Monona, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.