Antonette Marie Liddy, M.S. LPC NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

244-125 Issued in WI

Practice address

800 E Locust St
Milwaukee, WI 53212-2634

Phone

(414) 429-6522

Fax

(414) 502-0192

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Toni Liddy LLC

  • Professional Counselor
  • Milwaukee, WI
  • NPI 1518358506
  NPD (past) Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1578969416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 S 57TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192215",
            "telephone_number": "414-321-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E LOCUST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122634",
            "telephone_number": "414-429-6522",
            "fax_number": "414-502-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIDDY",
        "first_name": "ANTONETTE",
        "middle_name": "MARIE",
        "credential": "M.S. LPC NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "244-125",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "244-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalya Libo, DO
• Licensed to Care
• Katherine R Lichtenberg, D.O.
• Lakesha Renea Liddell, M.S., LPC -IT
• Molly Elizabeth Liddell, DNP RN AGCNS-BC
• Joseph Michael Lidester, P.T.A.
• Elizabeth Theresa Liebau
• Elicia A Liebe
• Laura Marie Liebenthal, MA
• William D Lieber, MD

• Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.