Active NPI
Penny L Raimer, LPC
- Professional Counselor
- Madison, WI
National Provider Identifier
1629046511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3720
- Practice address
- 25 Kessel Court
#200
Madison, WI 53711 - Phone
- (608) 278-8200
- Fax
- (608) 278-8204
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- 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 | 3720 | WI | Primary |
Addresses
Primary practice location
25 Kessel Court
#200
Madison, WI 53711
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1002 Lincoln Ave
Baraboo, WI 53913-1808
Phone (608) 356-9055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Service Associates, SC | Current | Accepting new patients |
Locations
1002 Lincoln Ave
Baraboo, WI 53913
Phone (608) 356-9055
2901 Hunters Trl
Portage, WI 53901
Phone (608) 742-5518
710 N Webb Ave
Ste 400
Reedsburg, WI 53959
Phone (608) 524-5151
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 and National Provider Directory roles.
-
dba Pauquette Center for Psychological Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portage, WI
- NPI 1780610923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1629046511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7974 UW HEALTH CT",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "535625531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 KESSEL COURT",
"address_2": "#200",
"city": "MADISON",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-278-8200",
"fax_number": "608-278-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIMER",
"first_name": "PENNY",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.