Individual provider Active NPI

Michael T Bauer, LPC

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1861562449
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1818-125 Issued in WI
Practice address
3410 Oakwood Mall Dr Ste 700
Eau Claire, WI 54701-2617
Phone
(715) 832-1678
Fax
(715) 832-6680
NPI assigned
Nov 9, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1818-125 WI Primary

Addresses

Primary practice location

3410 Oakwood Mall Dr Ste 700
Eau Claire, WI 54701-2617

Mailing address

N6341 Joyce Rd
Arkansaw, WI 54721-9208
Phone (715) 832-2084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002660 WI Practitioner - Mental Health Counselor 2961849526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
1818-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Christian Counseling LLC CurrentSince Feb 5, 2024 Accepting new patients

Locations

3410 Oakwood Mall Dr
Ste 700
Eau Claire, WI 54701
Phone (715) 832-1678

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1861562449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6341 JOYCE RD",
            "city": "ARKANSAW",
            "state": "WI",
            "postal_code": "547219208",
            "telephone_number": "715-832-2084",
            "fax_number": "715-838-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 OAKWOOD MALL DR STE 700",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547012617",
            "telephone_number": "715-832-1678",
            "fax_number": "715-832-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1818-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.