Active NPI
Megan Emerson
- Mental Health Counselor
- Mauston, WI
National Provider Identifier
1821749276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 124 Grayside Ave
Mauston, WI 53948-1913 - Phone
- (608) 847-7575
- NPI assigned
- Jan 17, 2022
- Last updated
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
124 Grayside Ave
Mauston, WI 53948-1913
Mailing address
513 Bluebird CT
Onalaska, WI 54650-2586
Phone (239) 271-8859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100070813 | Medicaid | WI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Valley Integrated Services LLC | Current | Accepting new patients | |
| Clark County | Past | Accepting new patients | |
| Pine Valley Residential Services | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Mauston, WI
- NPI 1013375104
-
dba Clark County Community Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Neillsville, WI
- NPI 1598986564
-
- Mental Illness Community Based Residential Treatment Facility
- Mauston, WI
- NPI 1891126751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1821749276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 BLUEBIRD CT",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502586",
"telephone_number": "239-271-8859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 GRAYSIDE AVE",
"city": "MAUSTON",
"state": "WI",
"postal_code": "539481913",
"telephone_number": "608-847-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "MEGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100070813",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mauston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.