Individual provider Active NPI

Mythe Piper

  • Professional Counselor
  • Marshfield, WI
National Provider Identifier
1770063125
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3940-226 Issued in WI
Practice address
2001 S Central Ave Ste a
Marshfield, WI 54449-4973
Phone
(715) 384-2818
Fax
(715) 384-2724
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3940-226 WI Primary

Addresses

Primary practice location

2001 S Central Ave Ste a
Marshfield, WI 54449-4973

Mailing address

2600 S Wittman Ave
Marshfield, WI 54449-5241
Phone (715) 207-7528

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

LicenseStateTypeSpecialty
3940-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vivant, LLC Professional Past Accepting new patients
Child & Adolescent Psychiatry Consulting LLC PastSince Feb 18, 2018 Accepting new patients

Organizations & group practices 2

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1770063125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S WITTMAN AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495241",
            "telephone_number": "715-207-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CENTRAL AVE STE A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494973",
            "telephone_number": "715-384-2818",
            "fax_number": "715-384-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "MYTHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3940-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.