Gwen Hering, LPC
Individual provider Active NPI Professional Counselor · Whitewater, WI
NPI 1649758392 · NPPES record last updated Oct 14, 2018
Key facts
- NPI
- 1649758392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3866-125 (WI)
- Practice address
- 1173 W Main St Ste B
Whitewater, WI 53190-1672 - Phone
- (920) 988-0505
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 3866-125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3866-125 | WI | Yes |
Addresses
Primary practice location
1173 W Main St Ste B
Whitewater, WI 53190-1672
Mailing address
N6975 Neupert Rd
Lake Mills, WI 53551-9623
Phone (920) 988-0505
Other providers in Whitewater, WI
- Robert L Hamilton
- Rebecca K Hamman
- Nancy L Harris
- Nancy Ann Haugen
- Healing Lotus Mental Health LLC
- Donald Hilbig
- Steven Matthew Hillmer
- Nicole C Holder
- Alessandra Lee Hollenbeck
- Vanessa Luisa Hollenbeck
All providers in Whitewater, WI · Professional 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 Oct 14, 2018. 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.