Individual provider Active NPI

John Sopiwnik

  • Mental Health Counselor
  • Ashland, WI
National Provider Identifier
1780085019
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1486 Issued in WI
Practice address
719 Main St E
Ashland, WI 54806-1918
Phone
(888) 834-4551
NPI assigned
Sep 5, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1486 WI Primary

Addresses

Primary practice location

719 Main St E
Ashland, WI 54806-1918

Mailing address

7665 US Highway 2
Iron River, WI 54847-4690
Phone (715) 466-2201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240207000225 TX Practitioner - Mental Health Counselor 1153764154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

53585 Nokomis Rd
Ashland, WI 54806-4272
Phone (715) 682-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis CurrentSince Dec 23, 2023 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indians Wis. CurrentSince Dec 23, 2023 Accepting new patients
Bad River Band of Lake Superior Tribe of Chippewa Indains Wis Past Accepting new patients

Locations

53585 Nokomis Rd
Ashland, WI 54806
Phone (715) 682-7133

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1780085019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 US HIGHWAY 2",
            "city": "IRON RIVER",
            "state": "WI",
            "postal_code": "548474690",
            "telephone_number": "715-466-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MAIN ST E",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061918",
            "telephone_number": "888-834-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPIWNIK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

Verify at the official NPI Registry.