Jane Conway, M.S, LPC

Individual provider Active NPI Counselor · Westby, WI

NPI 1831490143 · NPPES record last updated Nov 3, 2010

Key facts

NPI
1831490143
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
4172-125 (WI)
Practice address
S1597 Hanson Rd
Westby, WI 54667-8396
Phone
(608) 634-2574
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4172-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Springs Clinic Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4172-125 WI Yes

Addresses

Primary practice location

S1597 Hanson Rd
Westby, WI 54667-8396

Mailing address

6824 Schroeder Rd
13
Madison, WI 53711-6178
Phone (608) 575-3279

Other providers in Westby, WI

All providers in Westby, WI · Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.