Individual provider Active NPI

Lana Winter, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Crandon, WI
National Provider Identifier
1770978173
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16124-131 Issued in WI
Practice address
3144 Vanzile Rd
Crandon, WI 54520
Phone
(725) 478-5180
NPI assigned
Apr 2, 2015
Last updated
Oct 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16124-131 WI Primary

Addresses

Primary practice location

3144 Vanzile Rd
Crandon, WI 54520

Mailing address

603 Coolidge St
Tomahawk, WI 54487-1610
Phone (715) 360-8264

Other practice location 1

209 W Washington St Ste B
Wausau, WI 54403-5475
Phone (715) 845-3637 ext. 214

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
16124-131WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1770978173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 COOLIDGE ST",
            "city": "TOMAHAWK",
            "state": "WI",
            "postal_code": "544871610",
            "telephone_number": "715-360-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 VANZILE RD",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "54520",
            "telephone_number": "725-478-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 W Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544035475",
            "country_code": "US",
            "telephone_number": "715-845-3637 x214",
            "fax_number": "715-845-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "LANA",
        "name_prefix": "Mrs.",
        "credential": "SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16124-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crandon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.