Individual provider Active NPI

Robin Swanson

  • Professional Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1891231031
Registry record updated Mar 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7408-125 Issued in WI
Practice address
457 Greenwood Dr
Wisconsin Rapids, WI 54494-6580
Phone
(715) 421-4877
NPI assigned
Jan 11, 2017
Last updated
Mar 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7408-125 WI Primary
Professional Counselor 101YP2500X 3390-226 WI

Addresses

Primary practice location

457 Greenwood Dr
Wisconsin Rapids, WI 54494-6580

Mailing address

457 Greenwood Dr
Wisconsin Rapids, WI 54494-6580
Phone (715) 421-4877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3390-226WIMDProfessional Counselor
7408-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Wausau, LLC PastSince Nov 11, 2023 Accepting new patients

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711238400000",
    "number": "1891231031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 GREENWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946580",
            "telephone_number": "715-421-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 GREENWOOD DR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946580",
            "telephone_number": "715-421-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-03-24",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7408-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3390-226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.