Active NPI
Patricia A McGown
- Counselor
- Rice Lake, WI
National Provider Identifier
1700136553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 5007-125
- Practice address
- 431 S Main St
Suite #4
Rice Lake, WI 54868-2241 - Phone
- (715) 234-5679
- NPI assigned
- Sep 19, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5007-125 | WI | |
| Counselor | 101Y00000X | 5007-125 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 5007-125 | WI |
Addresses
Primary practice location
431 S Main St
Suite #4
Rice Lake, WI 54868-2241
Mailing address
431 S Main St
Suite #4
Rice Lake, WI 54868-2241
Phone (715) 234-5679
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 |
|---|---|---|---|
| 5007-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1700136553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 S MAIN ST",
"address_2": "SUITE #4",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682241",
"telephone_number": "715-234-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 S MAIN ST",
"address_2": "SUITE #4",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548682241",
"telephone_number": "715-234-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWN",
"first_name": "PATRICIA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5007-125",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "5007-125",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "5007-125",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.