Sonia L Wiesner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10485-125 Issued in WI

Practice address

N9607 Friendship Dr Apt 4
Kaukauna, WI 54130-8555

Phone

(920) 810-1533

NPI assigned

Jan 22, 2016

Last updated

Mar 21, 2024By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  WI

  Medicare reassignment
• Trivium LLC

  dba Crossroads Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1265450753
  NPD (past)
• Trivium LLC

  dba Crossroads Counseling Center

  • Adolescent and Children Mental Health Clinic/Center
  • Sun Prairie, WI
  • NPI 1427463066
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1780041681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N9607 FRIENDSHIP DR APT 4",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541308555",
            "telephone_number": "920-810-1533",
            "fax_number": "920-832-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N9607 FRIENDSHIP DR APT 4",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541308555",
            "telephone_number": "920-810-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESNER",
        "first_name": "SONIA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10485-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184841",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly L Volp, PT
• Gena Marie Vosters
• Walgreen Co (Walgreens #10759)
• Wellness 360 Solutions LLC
• Robyn Amanda West, RRT
• Jodi Wilhelm
• Ekin Tongze Yang
• Ashley Zellner, LCSW
• Don Raymond Zilisch, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.