Active NPI
Elizabeth Chouinard
- Mental Health Counselor
- Wisconsin Rapids, WI
National Provider Identifier
1851004634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 131357
- Practice address
- 1191 Huntington Ave
Wisconsin Rapids, WI 54494-6364 - Phone
- (715) 424-2712
- NPI assigned
- Dec 27, 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 | 131357 | WI | Primary |
Addresses
Primary practice location
1191 Huntington Ave
Wisconsin Rapids, WI 54494-6364
Mailing address
1340 Pleasant Dr Apt 11
Plover, WI 54467-9113
Phone (715) 741-0030
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 |
|---|---|---|---|
| 131357 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opportunity Development Centers, Inc. | Current | Accepting new patients |
Locations
1191 Huntington Ave
Wisconsin Rapids, WI 54494
Phone (715) 424-2712
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.
-
- Developmentally Disabled Services Day Training Agency
- Wisconsin Rapids, WI
- NPI 1013161587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1851004634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 PLEASANT DR APT 11",
"city": "PLOVER",
"state": "WI",
"postal_code": "544679113",
"telephone_number": "715-741-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1191 HUNTINGTON AVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946364",
"telephone_number": "715-424-2712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUINARD",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-27",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "131357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.