Active NPI
John Edward Noyer, MS LPC
- Professional Counselor
- Lake Geneva, WI
National Provider Identifier
1871725713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3272-125
- Practice address
- 101 Broad St
Lake Geneva, WI 53147-2000 - Phone
- (262) 248-7942
- Fax
- (262) 248-1202
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 3272-125 | WI | Primary |
Addresses
Primary practice location
101 Broad St
Lake Geneva, WI 53147-2000
Mailing address
440 Hillcrest Dr
Fontana, WI 53125-1458
Phone (262) 215-4767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40952400 | 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 |
|---|---|---|---|
| 3272-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1871725713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 HILLCREST DR",
"city": "FONTANA",
"state": "WI",
"postal_code": "531251458",
"telephone_number": "262-215-4767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BROAD ST",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531472000",
"telephone_number": "262-248-7942",
"fax_number": "262-248-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOYER",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3272-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40952400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.