Individual provider Active NPI

Audrey Beyers Nevins, M.S.,L.P.C.

  • Professional Counselor
  • Hudson, WI
National Provider Identifier
1710043070
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3269-125 Issued in WI
Practice address
1200 Hosford St Ste 107
Hudson, WI 54016-9316
Phone
(715) 381-1980
Fax
(715) 381-1906
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3269-125 WI Primary
Professional Counselor 101YP2500X 00227 MN

Addresses

Primary practice location

1200 Hosford St Ste 107
Hudson, WI 54016-9316

Mailing address

1200 Hosford St Ste 107
Hudson, WI 54016-9316
Phone (715) 381-1980

Other names 1

  • Ms. Audrey Beyers Tomasi Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405003711 WI Practitioner - Mental Health Counselor 5991108326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Allied Mental Health Specialty Group SCGroup PAC ID 9234155136, 3 clinicians

Practice addresses (Care Compare)

1334 Hosford St
Suite B
Hudson, WI 54016-9230
Phone (715) 808-0795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
00227MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Mental Health Specialty Group SC Professional CurrentSince Feb 17, 2024 Accepting new patients
Refresh Midwest Operations, SC PastSince Jun 26, 2019 Accepting new patients

Locations

1334 Hosford St
Ste B
Hudson, WI 54016
Phone (715) 808-0795

1200 Hosford St
Ste 107
Hudson, WI 54016
Phone (715) 381-1980

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710043070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HOSFORD ST STE 107",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169316",
            "telephone_number": "715-381-1980",
            "fax_number": "715-381-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSFORD ST STE 107",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169316",
            "telephone_number": "715-381-1980",
            "fax_number": "715-381-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVINS",
        "first_name": "AUDREY",
        "middle_name": "BEYERS",
        "name_prefix": "Mrs.",
        "credential": "M.S.,L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3269-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "00227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "TOMASI",
            "middle_name": "BEYERS",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

Verify at the official NPI Registry.