Individual provider Active NPI

Micheal John Kurschner Jr., MS LPC

  • Professional Counselor
  • Menomonie, WI
National Provider Identifier
1720586381
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6773-125 Issued in WI
Practice address
800 Wilson Ave RM 330
Menomonie, WI 54751-2746
Phone
(715) 256-7166
Fax
(888) 427-8048
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6773-125 WI
Professional Counselor 101YP2500X 6773-125 WI Primary

Addresses

Primary practice location

800 Wilson Ave RM 330
Menomonie, WI 54751-2746

Mailing address

800 Wilson Ave RM 330
Menomonie, WI 54751-2746
Phone (715) 256-7166

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6773-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Psychological and Consulting Services LLC Professional CurrentSince Sep 8, 2024 Accepting new patients

Locations

800 Wilson Ave
Rm 330
Menomonie, WI 54751
Phone (715) 256-7166

Organizations & group practices 1

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1720586381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WILSON AVE RM 330",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512746",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WILSON AVE RM 330",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512746",
            "telephone_number": "715-256-7166",
            "fax_number": "888-427-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSCHNER",
        "first_name": "MICHEAL",
        "middle_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6773-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6773-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.