NPIMap

Organization Active NPI

Juniper Neimeko Counseling & Consultation, LLC

  • Professional Counselor
  • Madison, WI
National Provider Identifier
1891569604
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JUNIPER NEIMEKO COUNSELING & CONSULTATION, LLC
Practice address
301 S Bedford St Ste 216
Madison, WI 53703-4018
Phone
(608) 520-0461
Fax
(608) 492-2979
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Shannon Neimeko, MAAT, LPCNPI 1043785082
Title
Owner
Phone
(608) 628-1550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X

Addresses

Primary practice location

301 S Bedford St Ste 216
Madison, WI 53703-4018

Mailing address

224 Venus Way
Madison, WI 53718-3107
Phone (608) 628-1550

Other names 1

  • Center for Community Healing Doing business as

National Provider Directory

National Provider Directory

Locations

301 S Bedford St
Ste 216
Madison, WI 53703
Phone (608) 520-0461

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1891569604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VENUS WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183107",
            "telephone_number": "608-628-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BEDFORD ST STE 216",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034018",
            "telephone_number": "608-520-0461",
            "fax_number": "608-492-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER NEIMEKO COUNSELING & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "NEIMEKO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-628-1550",
        "authorized_official_credential": "MAAT, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Community Healing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.