Anna Adesso

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4487-226 Issued in WI

Practice address

1011 N Lynndale Dr Ste 2D
Appleton, WI 54914-3091

Phone

(920) 944-8118

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• LK Anderson Consulting LLC

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468
  Medicare reassignment NPD
• Star Bright Therapy LLC

  • Professional Counselor
  • Appleton, WI
  • NPI 1275173312
  NPD Authorized official
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1760023014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 SILVER BIRCH DR",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549523519",
            "telephone_number": "920-650-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N LYNNDALE DR STE 2D",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143091",
            "telephone_number": "920-944-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESSO",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4487-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S126281",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abisoye A Adebayo, MD
• Melissa L Adelman, OTR
• Karen R Adler-Fischer, MD
• Melissa L Adlington, OT
• Mark G Adorjan, MD
• Adult Care Consultants Inc
• Advance Chiropractic Health Center, Inc.

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.