Active NPI
Nancy Xiong, LPC-IT, ATR-P
- Professional Counselor
- Glendale, WI
National Provider Identifier
1730645920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4011-226
- Practice address
- 5235 N Ironwood Rd
Glendale, WI 53217-4906 - Phone
- (414) 269-1886
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4011-226 | WI | Primary |
Addresses
Primary practice location
5235 N Ironwood Rd
Glendale, WI 53217-4906
Mailing address
5235 N Ironwood Rd
Glendale, WI 53217-4906
Phone (414) 269-1886
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 |
|---|---|---|---|
| 4011-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1730645920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5235 N IRONWOOD RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174906",
"telephone_number": "414-269-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5235 N IRONWOOD RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174906",
"telephone_number": "414-269-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIONG",
"first_name": "NANCY",
"credential": "LPC-IT, ATR-P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4011-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.