Active NPI
Nicole L Neuverth, LPC
- Professional Counselor
- Wautoma, WI
National Provider Identifier
1760082036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8396
- Practice address
- 230 W Park St
Wautoma, WI 54982 - Phone
- (920) 787-6550
- Fax
- (920) 787-0421
- NPI assigned
- Oct 27, 2020
- Last updated
- Dec 23, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4379-226 | WI | |
| Professional Counselor | 101YP2500X | 8396 | WI | Primary |
Addresses
Primary practice location
230 W Park St
Wautoma, WI 54982
Mailing address
PO Box 1230
Wautoma, WI 54982-1230
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 |
|---|---|---|---|
| 4379-226 | WI | MD | Mental Health Counselor |
| 8396 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1760082036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1230",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "549821230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W PARK ST",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "54982",
"telephone_number": "920-787-6550",
"fax_number": "920-787-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUVERTH",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4379-226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wautoma, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.