Individual provider Active NPI

Lynn Ann Martin, LPC

  • Professional Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1801139241
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5041-125 Issued in WI
Practice address
3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511
Phone
(715) 423-2030
Fax
(715) 423-2032
NPI assigned
Apr 4, 2013
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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 5041-125 WI Primary

Addresses

Primary practice location

3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511

Mailing address

3930 8TH St S
Suite 101
Wisconsin Rapids, WI 54494-6511
Phone (715) 423-2030

Other identifiers 1

IdentifierTypeStateIssuer
5041-125OtherWISTATE OF WI DEPT OF SAFETY & PROFESSIONAL SERVICES

Other names 1

  • Lynn Ann Beyer Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250307001392 WI Practitioner - Mental Health Counselor 4183145063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Clinic LLCGroup PAC ID 0042645046, 11 clinicians

Practice addresses (Care Compare)

2831 Post Rd
Suite 300
Plover, WI 54467-3415
Phone (715) 600-2798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinic LLC Professional CurrentSince Nov 30, 2024 Accepting new patients

Locations

2831 Post Rd
Ste 300
Plover, WI 54467
Phone (715) 600-2798

Organizations & group practices 1

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1801139241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 8TH ST S",
            "address_2": "SUITE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946511",
            "telephone_number": "715-423-2030",
            "fax_number": "715-423-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5041-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI  DEPT OF SAFETY & PROFESSIONAL SERVICES",
            "identifier": "5041-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "BEYER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.