Individual provider Active NPI

Laura Suminski, MSE, NCC, SAC-IT

  • Addiction (Substance Use Disorder) Counselor
  • Madison, WI
National Provider Identifier
1790074201
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
16278-130 Issued in WI
Practice address
1334 Applegate Rd
Suite 101
Madison, WI 53713-3184
Phone
(608) 221-1500
Fax
(608) 221-1515
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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 16278-130 WI Primary

Addresses

Primary practice location

1334 Applegate Rd
Suite 101
Madison, WI 53713-3184

Mailing address

1334 Applegate Rd
Suite 101
Madison, WI 53713-3184
Phone (608) 221-1500

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
16278-130WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1790074201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "608-221-1500",
            "fax_number": "608-221-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 APPLEGATE RD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133184",
            "telephone_number": "608-221-1500",
            "fax_number": "608-221-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMINSKI",
        "first_name": "LAURA",
        "credential": "MSE, NCC, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16278-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.