Active NPI
Laura Selker, MA, LMFT
- Marriage & Family Therapist
- New London, WI
National Provider Identifier
1679083729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 536-228
- Practice address
- E7475 Rawhide Rd
New London, WI 54961-9025 - Phone
- (877) 300-9101
- Fax
- (920) 531-2686
- NPI assigned
- Oct 3, 2017
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 536-228 | WI | Primary |
Addresses
Primary practice location
E7475 Rawhide Rd
New London, WI 54961-9025
Mailing address
E7475 Rawhide Rd
New London, WI 54961-9025
Phone (877) 300-9101
Other practice location 1
446 N Westhill Blvd Ste 6
Appleton, WI 54914-6533
Phone (920) 931-4350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 536-228 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rawhide Inc. | Past | Accepting new patients |
Interoperability endpoints
- laura.selker@25254901.chartlogic.direct-ci.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New London, WI
- NPI 1841334620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1679083729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E7475 RAWHIDE RD",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549619025",
"telephone_number": "877-300-9101",
"fax_number": "920-531-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E7475 RAWHIDE RD",
"city": "NEW LONDON",
"state": "WI",
"postal_code": "549619025",
"telephone_number": "877-300-9101",
"fax_number": "920-531-2686"
}
],
"practiceLocations": [
{
"address_1": "446 N Westhill Blvd Ste 6",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549146533",
"country_code": "US",
"telephone_number": "920-931-4350",
"fax_number": "920-257-4460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELKER",
"first_name": "LAURA",
"credential": "MA, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "536-228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.