Active NPI
Lee Andrew Folstad, L.M.F.T.
- Marriage & Family Therapist
- Hudson, WI
National Provider Identifier
1699845487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 289-124
- Practice address
- 2910 Enloe St Ste 104
Hudson, WI 54016-8166 - Phone
- (715) 377-0000
- Fax
- (715) 377-0000
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 289-124 | WI | Primary |
Addresses
Primary practice location
2910 Enloe St Ste 104
Hudson, WI 54016-8166
Mailing address
13893 Heather St NW
Andover, MN 55304-7543
Phone (763) 757-7034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39-147-000 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Carmichael Rd
Suite 206
Hudson, WI 54016-8271
Phone (715) 690-2115
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Counseling, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Randi L. Erickson | Marriage & Family Therapist | Past | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
131 Carmichael Rd
Ste 206
Hudson, WI 54016
Phone (715) 690-2115
Interoperability endpoints
- lifestanceheallth.leefolstad@149809.advancedmd-direct.com
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Hudson, WI
- NPI 1639985476
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699845487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13893 HEATHER ST NW",
"city": "ANDOVER",
"state": "MN",
"postal_code": "553047543",
"telephone_number": "763-757-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 ENLOE ST STE 104",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168166",
"telephone_number": "715-377-0000",
"fax_number": "715-377-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSTAD",
"first_name": "LEE",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "L.M.F.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "289-124",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39-147-000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.