NPIMap

Individual provider Active NPI

Sara Annne Dutter, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Eau Claire, WI
National Provider Identifier
1598069288
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15682 Issued in WI
Practice address
2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187
Phone
(715) 834-1078
Fax
(715) 834-1218
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15682 WI Primary

Addresses

Primary practice location

2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187

Mailing address

2000 N Oxford Ave Ste 4
Eau Claire, WI 54703-5187
Phone (715) 834-1078

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
15682WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Metro Treatment Center Past Accepting new patients
Eau Claire Metro Treatment Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1598069288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N OXFORD AVE STE 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035187",
            "telephone_number": "715-834-1078",
            "fax_number": "715-834-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTER",
        "first_name": "SARA",
        "middle_name": "ANNNE",
        "credential": "SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.