Individual provider Active NPI

Karla Dunlap, LPC, SAC

  • Mental Health Counselor
  • Black River Falls, WI
National Provider Identifier
1609383306
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7531-125 Issued in WI
Practice address
421 County Road R
Black River Falls, WI 54615-5129
Phone
(715) 284-4301
Fax
(715) 284-7713
NPI assigned
Jan 3, 2018
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17843-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 16406-131 WI
Professional Counselor 101YP2500X 7531-125 WI
Mental Health Counselor 101YM0800X 7531-125 WI Primary

Addresses

Primary practice location

421 County Road R
Black River Falls, WI 54615-5129

Mailing address

421 County Road R
Black River Falls, WI 54615-5129
Phone (715) 284-4301

Other identifiers 1

IdentifierTypeStateIssuer
100074123MedicaidWI

Other names 1

  • Karla Cade Former name

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
I20240530003499 WI Practitioner - Mental Health Counselor 9032551429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16406-131WIMDAddiction (Substance Use Disorder) Counselor
17843-130WIMDAddiction (Substance Use Disorder) Counselor
7531-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Jackson CurrentSince Apr 26, 2024 Accepting new patients

Locations

421 County Road R
Black River Falls, WI 54615
Phone (715) 284-4301

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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1609383306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "KARLA",
        "credential": "LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17843-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16406-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7531-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7531-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100074123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARLA",
            "last_name": "CADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.