Active NPI
Joshua Eastlick, LPC
- Professional Counselor
- Platteville, WI
National Provider Identifier
1609303031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7299-125
- Practice address
- 530 S Water St Ste 3
Platteville, WI 53818 - Phone
- (608) 348-5088
- Fax
- (608) 348-3302
- NPI assigned
- May 16, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | 7299-125 | WI | Primary |
Addresses
Primary practice location
530 S Water St Ste 3
Platteville, WI 53818
Mailing address
530 S Water St Ste 3
Platteville, WI 53818-3626
Phone (608) 348-5088
Other practice location 1
200 W Alona Ln
Lancaster, WI 53813-2202
Phone (608) 723-6357
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 |
|---|---|---|---|
| 7299-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CWM Counseling LLC | Professional | Past | 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.
-
- Professional Counselor
- Platteville, WI
- NPI 1124415740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609303031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 S WATER ST STE 3",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "538183626",
"telephone_number": "608-348-5088",
"fax_number": "608-348-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S WATER ST STE 3",
"city": "PLATTEVILLE",
"state": "WI",
"postal_code": "53818",
"telephone_number": "608-348-5088",
"fax_number": "608-348-3302"
}
],
"practiceLocations": [
{
"address_1": "200 W Alona Ln",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "WI",
"postal_code": "538132202",
"country_code": "US",
"telephone_number": "608-723-6357",
"fax_number": "608-723-4417",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EASTLICK",
"first_name": "JOSHUA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7299-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Platteville, WI
- Dubuque Internal Medicine PC (Tri-State Dialysis Platteville)
- Allison Nicole Dunne, PA-C
- Jamie Leah Duve, LPN
- Kyle Dwyer, MAT, LAT, ATC
- Wendy Lynn Eames, LPC
- Roger L. Elver, D.D.S.
- Anne Marie Evans, ATC, LAT
- Kaitlyn Evenstad
- David Jonathan Eversoll, RN REGISTERED NURSE
- Brianne Farrey, APNP, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.