Active NPI
Rachael Erickson, LPC
- Professional Counselor
- MC Farland, WI
National Provider Identifier
1841466224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3980-125
- Practice address
- 5979 Siggelkow Rd
MC Farland, WI 53558-9817 - Phone
- (608) 838-8999
- Fax
- (608) 838-8988
- NPI assigned
- May 5, 2008
- 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 | 3980-125 | WI | Primary |
Addresses
Primary practice location
5979 Siggelkow Rd
MC Farland, WI 53558-9817
Mailing address
610 Stonehaven Dr
Sun Prairie, WI 53590-1289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43738700 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3980-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities, Inc. Roman Catholic Diocese | Past | Accepting new patients | |
| Common Threads Family Resource Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- MC Farland, WI
- NPI 1962752402
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1386808384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1841466224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 STONEHAVEN DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5979 SIGGELKOW RD",
"city": "MC FARLAND",
"state": "WI",
"postal_code": "535589817",
"telephone_number": "608-838-8999",
"fax_number": "608-838-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "RACHAEL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3980-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43738700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Farland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.