Active NPI
Laura Anne Teoli
- Professional Counselor
- Madison, WI
National Provider Identifier
1831708957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5075
- Practice address
- 303 S Paterson St Ste 1a
Madison, WI 53703-4534 - Phone
- (608) 571-0558
- Fax
- (608) 807-5675
- NPI assigned
- Jul 24, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5075 | WI | Primary |
Addresses
Primary practice location
303 S Paterson St Ste 1a
Madison, WI 53703-4534
Mailing address
303 S Paterson St Ste 1a
Madison, WI 53703-4534
Phone (608) 571-0558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5075 | Other | WI | WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5075 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Vibes Counseling Center | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1699321760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1831708957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S PATERSON ST STE 1A",
"city": "MADISON",
"state": "WI",
"postal_code": "537034534",
"telephone_number": "608-571-0558",
"fax_number": "608-807-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S PATERSON ST STE 1A",
"city": "MADISON",
"state": "WI",
"postal_code": "537034534",
"telephone_number": "608-571-0558",
"fax_number": "608-807-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEOLI",
"first_name": "LAURA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
"identifier": "5075",
"state": "WI"
}
],
"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 Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.