Thomas Feryance, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6051-125 Issued in WI

Practice address

2652 Murphy Rd
Portage, WI 53901-1094

Phone

(608) 742-9758

NPI assigned

Jul 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1679026421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 MURPHY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011094",
            "telephone_number": "608-742-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 MURPHY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011094",
            "telephone_number": "608-742-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERYANCE",
        "first_name": "THOMAS",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6051-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Erickson, MS, SAC
• Elizabeth Abbs Erickson
• Antonio Escobedo-Morse, MD
• Lasonya Evans, BACHELOR' OF SCIENCE
• Jeanine S Fair, MSW, CICSW
• Fico Skye Transportation LLC
• James J Foskett, MD
• Mark R Frederiksen, R.PH.
• Chelsea K Fried, OTR
• Bethany C Frostman

• Professional Counselor in Portage, WI
• Providers in Portage, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.

Verify at the official NPI Registry.