Active NPI
Molly Kummer
- Professional Counselor
- Onalaska, WI
National Provider Identifier
1689036071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7380
- Practice address
- 9532 E 16 Frontage Rd
Ste. 100
Onalaska, WI 54650-6739 - Phone
- (608) 783-0506
- NPI assigned
- Mar 24, 2016
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7380 | WI | Primary |
Addresses
Primary practice location
9532 E 16 Frontage Rd
Ste. 100
Onalaska, WI 54650-6739
Mailing address
9532 E 16 Frontage Rd
Onalaska, WI 54650-6739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003150004 | Medicaid | WI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7380 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1689036071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9532 E 16 FRONTAGE RD",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546506739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9532 E 16 FRONTAGE RD",
"address_2": "STE. 100",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546506739",
"telephone_number": "608-783-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMMER",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003150004",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.