Individual provider Active NPI

Erin Cimino, LPC

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1922591395
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8719 Issued in WI
Practice address
2400 Marshall St Ste a
Wausau, WI 54403-6799
Phone
(715) 848-4600
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8719 WI Primary

Addresses

Primary practice location

2400 Marshall St Ste a
Wausau, WI 54403-6799

Mailing address

2400 Marshall St Ste a
Wausau, WI 54403-6799
Phone (715) 848-4600

Other names 1

  • Erin Cimino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240710001221 WI Practitioner - Mental Health Counselor 0941745343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8719WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services Board Serving North Central Health Care Facility CurrentSince Oct 7, 2024 Accepting new patients
Human Services Board Serving North Central Health Care Facility CurrentSince Oct 7, 2024 Accepting new patients
Charis Counseling, LLC Professional PastSince Aug 25, 2016 Accepting new patients

Locations

2400 Marshall St
Ste A
Wausau, WI 54403
Phone (715) 848-4600

Organizations & group practices 3

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1922591395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MARSHALL ST STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036799",
            "telephone_number": "715-848-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MARSHALL ST STE A",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544036799",
            "telephone_number": "715-848-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "ERIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CIMINO",
            "credential": "LPC IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.