Timothy D Newlin, LPC
Individual provider Active NPI Mental Health Counselor · Frederic, WI
NPI 1619002839 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1619002839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 476-125 (WI)
- Practice address
- 203 United Way Drive
Frederic, WI 54837-8938 - Phone
- (715) 327-4402
- Fax
- (715) 327-8509
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 476-125 | WI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 476-125 | WI | Yes |
Addresses
Primary practice location
203 United Way Drive
Frederic, WI 54837-8938
Mailing address
203 United Way Drive
Frederic, WI 54837-8938
Phone (715) 327-4402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 855751020906 | Other | MN | PREFERRED ONE |
| HP30378 | Other | MN | HEALTH PARTNERS |
| 6202881 | Other | MN | UNITED BEHAVIORAL HEALTH |
| 41B87NE | Other | MN | BCBS OFMN |
| 39634700 | Medicaid | WI |
Other providers in Frederic, WI
- Erica Lumley
- Marek Chiropractic Incorporated
- Joseph L Marek
- Greg William McCormack
- Tara L Mitchell
- Caitlin Kehoe Nimm
- Northwest Counseling & Guidance Clinic
- Northwest Passage LTD
- Jennifer Olson
- Kandis Joy Olson
All providers in Frederic, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.