Aleta Avis Yellow Thunder, BA, SACIT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13680-130 Issued in WI

Practice address

N7240 US Highway 45
Wittenberg, WI 54499-8567

Phone

(715) 253-6064

Fax

(715) 253-2897

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Ho Chunk Nation

  dba HO CHUNK NATION d/b/a House of Wellness

  • Federally Qualified Health Center (FQHC)
  • Baraboo, WI
  • NPI 1316002694
  NPD (past)
• Ho Chunk Nation

  dba Ho-Chunk Behavioral Health Center-Wittenberg

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wittenberg, WI
  • NPI 1568771624
  NPD (past)

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1689981912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544990247",
            "telephone_number": "715-253-6064",
            "fax_number": "715-253-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7240 US HIGHWAY 45",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544998567",
            "telephone_number": "715-253-6064",
            "fax_number": "715-253-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLOW THUNDER",
        "first_name": "ALETA",
        "middle_name": "AVIS",
        "credential": "BA, SACIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13680-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Szmanda Dental Center
• Village of Wittenberg Dba Wittenberg Area Ambulance Service
• Kari Lynn White-Gaedtke, MS, CCC-SLP
• Wittenberg Area Fireambulance Protective Service District Inc
• Wittenberg-Birnamwood School District

• Addiction (Substance Use Disorder) Counselor in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.