Individual provider Active NPI

Judith Ann Maret, LPC

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1578810032
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4861-125 Issued in WI
Practice address
20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800
Phone
(262) 782-1474
Fax
(262) 782-1441
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4861-125 WI Primary

Addresses

Primary practice location

20700 Watertown Rd
Suite 102
Waukesha, WI 53186-1800

Mailing address

2019 N 83Rd St
Wauwatosa, WI 53213-1605
Phone (262) 227-1992

Other identifiers 1

IdentifierTypeStateIssuer
84043OtherWIMEDICARE

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

LicenseStateTypeSpecialty
4861-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Resources, Inc. Professional PastSince Oct 22, 1998 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1578810032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 N 83RD ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131605",
            "telephone_number": "262-227-1992",
            "fax_number": "262-782-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD",
            "address_2": "SUITE 102",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-782-1474",
            "fax_number": "262-782-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARET",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4861-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "84043",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.