Individual provider Active NPI

Lacie L Anthony, LPC

  • Professional Counselor
  • Prairie Du Chien, WI
National Provider Identifier
1679503239
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3444 Issued in WI
Practice address
37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone
(608) 357-2000
NPI assigned
Jul 3, 2006
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3444 WI Primary

Addresses

Primary practice location

37868 US Highway 18
Prairie Du Chien, WI 53821-8416

Mailing address

37868 US Highway 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000

Other practice location 1

800 E Blackhawk Avenue
Prairie du Chien, WI 53821
Phone (608) 326-0808

Other practice location 2

1910 South Ave
LA Crosse, WI 54601
Phone (608) 782-7300

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Direct
Direct Messaging Address lanthony18458@direct.monroeclinic.org Direct The Monroe Clinic, Inc.
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240304003544 WI Practitioner - Mental Health Counselor 2961847645 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3444WIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • Direct secure messaging: lanthony18458@direct.monroeclinic.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1679503239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37868 US HIGHWAY 18",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218416",
            "telephone_number": "608-357-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37868 US HIGHWAY 18",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538218416",
            "telephone_number": "608-357-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Blackhawk Avenue",
            "address_purpose": "LOCATION",
            "city": "Prairie du Chien",
            "state": "WI",
            "postal_code": "53821",
            "country_code": "US",
            "telephone_number": "608-326-0808",
            "fax_number": "608-326-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "54601",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "LACIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "address_1": "37868 US Highway 18",
            "city": "Prairie Du Chien",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538218416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lanthony18458@direct.monroeclinic.org",
            "affiliation": "Y",
            "affiliationName": "The Monroe Clinic, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lanthony18458@direct.monroeclinic.org",
            "address_1": "515 22nd Avenue",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "37868 US Highway 18",
            "city": "Prairie Du Chien",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538218416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairie Du Chien, WI

Sources for this page

Verify at the official NPI Registry.