Individual provider Active NPI

Erin E Kriewald, LPC, SAC

  • Professional Counselor
  • Minocqua, WI
National Provider Identifier
1699047993
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5366-125 Issued in WI
Practice address
9433 County Rd J
Minocqua, WI 54548-9318
Phone
(715) 356-5377
Fax
(715) 356-5378
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16467-130 WI
Professional Counselor 101YP2500X 5366-125 WI Primary

Addresses

Primary practice location

9433 County Rd J
Minocqua, WI 54548-9318

Mailing address

9433 County Rd J
Minocqua, WI 54548-9318
Phone (715) 356-5377

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

LicenseStateTypeSpecialty
16467-130WIMDAddiction (Substance Use Disorder) Counselor
5366-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1699047993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489318",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489318",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEWALD",
        "first_name": "ERIN",
        "middle_name": "E",
        "credential": "LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16467-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5366-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.