Individual provider Active NPI

Julie Sigler Edmundson, MS.,LPC.,CSAC,ICS

  • Addiction (Substance Use Disorder) Counselor
  • Wausau, WI
National Provider Identifier
1598826471
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
10668 Issued in WI
Practice address
1100 Lake View Dr
Premier Recovery
Wausau, WI 54403-6785
Phone
(715) 213-3503
NPI assigned
Dec 13, 2006
Last updated
Sep 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10668 WI Primary
Professional Counselor 101YP2500X 4416-125 WI

Addresses

Primary practice location

1100 Lake View Dr
Premier Recovery
Wausau, WI 54403-6785

Mailing address

5820 Paul Revere CT
Wisconsin Rapids, WI 54494-3490
Phone (715) 213-3503

Other identifiers 1

IdentifierTypeStateIssuer
39381100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008003090 WI Practitioner - Mental Health Counselor 3476788274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmundson CounselingGroup PAC ID 7416454194, 2 clinicians

Practice addresses (Care Compare)

420 3Rd St S
Wisconsin Rapids, WI 54494-4350
Phone (715) 712-1370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4416-125WIMDProfessional Counselor
10668WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Edmundson Counseling Addiction (Substance Use Disorder) CurrentSince Aug 21, 2025 Accepting new patients
County of Adams PastSince Sep 20, 2013 Accepting new patients

Locations

420 3rd St S
Wisconsin Rapids, WI 54494
Phone (715) 424-3553

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, 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1598826471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 PAUL REVERE CT",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544943490",
            "telephone_number": "715-213-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE VIEW DR",
            "address_2": "PREMIER RECOVERY",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036785",
            "telephone_number": "715-213-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGLER EDMUNDSON",
        "first_name": "JULIE",
        "credential": "MS.,LPC.,CSAC,ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "10668",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4416-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39381100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.