Individual provider Active NPI

Maureen A Neuville, LPC

  • Mental Health Counselor
  • La Crosse, WI
National Provider Identifier
1922170372
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3599-125 Issued in WI
Practice address
115 5TH Ave S
Suite 507
La Crosse, WI 54601-9200
Phone
(608) 780-2823
Fax
(608) 781-2924
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3599-125 WI Primary
Mental Health Counselor 101YM0800X LPC00916 MN

Addresses

Primary practice location

115 5TH Ave S
Suite 507
La Crosse, WI 54601-9200

Mailing address

1005 Oak Ave N
Onalaska, WI 54650-2117
Phone (608) 780-2823

Other identifiers 1

IdentifierTypeStateIssuer
40953700MedicaidWI

Other names 1

  • Miss Maureen A Bissen Other name

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
LPC00916MNMDMental Health Counselor
3599-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC PastSince Sep 1, 2018 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1922170372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 OAK AVE N",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502117",
            "telephone_number": "608-780-2823",
            "fax_number": "608-781-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "address_2": "SUITE 507",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546019200",
            "telephone_number": "608-780-2823",
            "fax_number": "608-781-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUVILLE",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3599-125",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "LPC00916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40953700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "BISSEN",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "MS, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.