Individual provider Active NPI

Justin R Strahl, M.S.

  • Mental Health Counselor
  • Sheboygan, WI
National Provider Identifier
1679818579
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3838-125 Issued in WI
Practice address
3321 S 12TH St
Sheboygan, WI 53081-6753
Phone
(920) 783-6201
NPI assigned
Dec 3, 2012
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3838-125 WI Primary

Addresses

Primary practice location

3321 S 12TH St
Sheboygan, WI 53081-6753

Mailing address

3321 S 12TH St
Sheboygan, WI 53081-6753
Phone (920) 783-6301

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
I20240208002718 WI Practitioner - Mental Health Counselor 3870936669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3838-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nett Work Family Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2801 Calumet Dr
Sheboygan, WI 53083
Phone (920) 451-6908

3321 S 12th St
Sheboygan, WI 53081
Phone (920) 783-6201

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1679818579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816753",
            "telephone_number": "920-783-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 S 12TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530816753",
            "telephone_number": "920-783-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAHL",
        "first_name": "JUSTIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3838-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.