Charmaine Lou Buelow, LPC
Individual provider Active NPI Counselor · Pulaski, WI
NPI 1710150768 · NPPES record last updated Apr 10, 2008
Key facts
- NPI
- 1710150768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 2769-125 (WI)
- Practice address
- 141 Williams St
Pulaski, WI 54162-8842 - Phone
- (920) 822-1867
- Fax
- (920) 822-1867
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769-125 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choices Counseling LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2769-125 | WI | Yes |
Addresses
Primary practice location
141 Williams St
Pulaski, WI 54162-8842
Mailing address
PO Box 216
Pulaski, WI 54162-0216
Phone (920) 822-1867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40970500 | Medicaid | WI |
Other providers in Pulaski, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.