Active NPI
Emily Waystedt, LPC
- Professional Counselor
- Delafield, WI
National Provider Identifier
1588030852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6203-125
- Practice address
- 394 Williamstowne
#10
Delafield, WI 53018-2322 - Phone
- (262) 434-0540
- NPI assigned
- Aug 20, 2015
- 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 | 6203-125 | WI | Primary |
Addresses
Primary practice location
394 Williamstowne
#10
Delafield, WI 53018-2322
Mailing address
394 Williamstowne
# 10
Delafield, WI 53018-2322
Phone (262) 434-0540
Other names 1
- Emily Hidden
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 |
|---|---|---|---|
| 6203-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1588030852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394 WILLIAMSTOWNE",
"address_2": "# 10",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182322",
"telephone_number": "262-434-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 WILLIAMSTOWNE",
"address_2": "#10",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182322",
"telephone_number": "262-434-0540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYSTEDT",
"first_name": "EMILY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6203-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "HIDDEN",
"credential": "LPC-IT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.