Mark Frederick Mueller, MS, LPC, SAC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

2661 Issued in WI

Practice address

324 Butts Avenue
Tomah, WI 54660

Phone

(608) 392-4718

Fax

(608) 392-9518

NPI assigned

Nov 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1629259163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "address_2": "SDS12-1874",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554861874",
            "telephone_number": "608-392-4718",
            "fax_number": "608-392-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 BUTTS AVENUE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-392-4718",
            "fax_number": "608-392-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "credential": "MS, LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-26",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "2661",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12678",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Morrissey, PHD
• Erin Moseley
• Faye MB Moseley, RDN CD CDCES
• Lori Jean Moser
• Ladan Mostaghimi Tehrani, MD
• Mark Stephen Mueller, DDS
• Daniel Mulrain, RN
• Brooke Murdock, LCSW
• Ayman Magdy Nemr, M.D.
• Megan Nicksic

• Case Manager/Care Coordinator in Tomah, WI
• Providers in Tomah, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.