Active NPI
Carmen Letarski, LPC
- Mental Health Counselor
- Wausau, WI
National Provider Identifier
1922657345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8661-125
- Practice address
- 530 Grant St
Wausau, WI 54403-4738 - Phone
- (715) 432-6471
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18555-130 | WI | |
| Mental Health Counselor | 101YM0800X | 8661-125 | WI | Primary |
Addresses
Primary practice location
530 Grant St
Wausau, WI 54403-4738
Mailing address
1500 N 1St St Apt 114
Wausau, WI 54403-3595
Phone (715) 432-6471
Other practice location 1
903 N 2nd St
Wausau, WI 54403-4702
Phone (715) 848-3202
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 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18555-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 8661-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Counseling Wausau, LLC | Past | 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.
-
- Group Psychotherapy Psychologist
- Weston, WI
- NPI 1720387095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1922657345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N 1ST ST APT 114",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544033595",
"telephone_number": "715-432-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 GRANT ST",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544034738",
"telephone_number": "715-432-6471"
}
],
"practiceLocations": [
{
"address_1": "903 N 2nd St",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544034702",
"country_code": "US",
"telephone_number": "715-848-3202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LETARSKI",
"first_name": "CARMEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "18555-130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8661-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.