Joseph Paul Gayan, LPC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

619 River St
Belleville, WI 53508-9188

Phone

(920) 540-1365

NPI assigned

May 1, 2017

Sex

Male

Sole proprietor

No

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Foundations Counseling Center, Inc.

  • Clinical Social Worker
  • Belleville, WI
  • NPI 1659579928

  WI

  Medicare reassignment NPD

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1700311461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 RIVER ST",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089188",
            "telephone_number": "920-540-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RIVER ST",
            "city": "BELLEVILLE",
            "state": "WI",
            "postal_code": "535089188",
            "telephone_number": "920-540-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYAN",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "credential": "LPC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward V Flesch, D.C.
• Foundations Counseling Center, Inc.
• Brad K Freitag, DC
• Helia Marguerite Gagnon, MD
• George L Gay Jr., M.D.
• Terry Geurkink, M.D.
• Courtney Golueke, MS, PC-IT
• Alexis Jade Grinnell
• Dana Rae Guetschow
• Danna Suzanne Hamlett, M.S., LMFT

• All providers in Belleville, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.

Verify at the official NPI Registry.