Individual provider Active NPI

Carmen Letarski, LPC

  • Mental Health Counselor
  • Wausau, WI
National Provider Identifier
1922657345
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8661-125 Issued in WI
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

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
18555-130WIMDAddiction (Substance Use Disorder) Counselor
8661-125WIMDMental Health 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.