Individual provider Active NPI

Anthony Francis Werth Jr., MS

  • Professional Counselor
  • Grafton, WI
National Provider Identifier
1932205358
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2700125 Issued in WI
Practice address
101 Falls Rd Ste 326
Grafton, WI 53024-2612
Phone
(262) 421-8980
Fax
(262) 421-8971
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2700-125 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 12125 WI
Professional Counselor 101YP2500X 2700125 WI Primary

Addresses

Primary practice location

101 Falls Rd Ste 326
Grafton, WI 53024-2612

Mailing address

101 Falls Rd Ste 326
Grafton, WI 53024-2612
Phone (262) 421-8980

Other identifiers 1

IdentifierTypeStateIssuer
39779300MedicaidWI

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
I20250219002177 WI Practitioner - Mental Health Counselor 9335115435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2700-125WIMDProfessional Counselor
2700125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Feb 12, 2025 Accepting new patients
Ravenswood Clinic Inc Past Accepting new patients

Locations

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: anthonywerth@tdh.allscriptsdirect.net

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1932205358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FALLS RD STE 326",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-421-8980",
            "fax_number": "262-421-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FALLS RD STE 326",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242612",
            "telephone_number": "262-421-8980",
            "fax_number": "262-421-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTH",
        "first_name": "ANTHONY",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2700-125",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2700125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39779300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.