Individual provider Active NPI

Thomas Graber, APSW

  • Social Worker
  • Baraboo, WI
National Provider Identifier
1861276057
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
132210-121 Issued in WI
Practice address
1212 8TH St Ste 3
Baraboo, WI 53913-1875
Phone
(608) 448-2497
Fax
(608) 448-2865
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 132210-121 WI Primary

Addresses

Primary practice location

1212 8TH St Ste 3
Baraboo, WI 53913-1875

Mailing address

1212 8TH St Ste 3
Baraboo, WI 53913-1875
Phone (608) 448-2497

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

LicenseStateTypeSpecialty
132210-121WIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Counseling, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

1212 8th St
Ste 3
Baraboo, WI 53913
Phone (608) 448-2497

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1861276057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 8TH ST STE 3",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131875",
            "telephone_number": "608-448-2497",
            "fax_number": "608-448-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 8TH ST STE 3",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131875",
            "telephone_number": "608-448-2497",
            "fax_number": "608-448-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "THOMAS",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "132210-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.