Individual provider Active NPI

David Arthur Sliefert, MA, LPC

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1689747099
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3828-125 Issued in WI
Practice address
2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone
(715) 848-0525
Fax
(715) 848-8665
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 419 AK
Professional Counselor 101YP2500X 3828-125 WI Primary

Addresses

Primary practice location

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162

Mailing address

2620 Stewart Ave Ste 310
Wausau, WI 54401-4162
Phone (715) 848-0525

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
I20240112000613 WI Practitioner - Mental Health Counselor 6002040391 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
419AKMDProfessional Counselor
3828-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charis Counseling, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2620 Stewart Ave
Ste 310
Wausau, WI 54401
Phone (715) 848-0525

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1689747099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 STEWART AVE STE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014162",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIEFERT",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "419",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3828-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.