Active NPI
Sonia Lynn Wichmann, LPC, LMFT
- Marriage & Family Therapist
- Wales, WI
National Provider Identifier
1689911604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 917-124
- Practice address
- 200 W Summit Ave
Wales, WI 53183-9427 - Phone
- (262) 433-6673
- NPI assigned
- Jan 10, 2013
- Last updated
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4907-125 | WI | |
| Marriage & Family Therapist | 106H00000X | 917-124 | WI | Primary |
Addresses
Primary practice location
200 W Summit Ave
Wales, WI 53183-9427
Mailing address
S19W37677 Pasteur CT
Dousman, WI 53118-8726
Phone (262) 433-6673
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 |
|---|---|---|---|
| 4907-125 | WI | MD | Professional Counselor |
| 917-124 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1689911604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S19W37677 PASTEUR CT",
"city": "DOUSMAN",
"state": "WI",
"postal_code": "531188726",
"telephone_number": "262-433-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SUMMIT AVE",
"city": "WALES",
"state": "WI",
"postal_code": "531839427",
"telephone_number": "262-433-6673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHMANN",
"first_name": "SONIA",
"middle_name": "LYNN",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4907-125",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "917-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wales, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.