Active NPI
Judy Ann Marie Hoffmann, MSE, LPC, NCC
- Professional Counselor
- Menasha, WI
National Provider Identifier
1942339841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2887-125
- Practice address
- 1427 Province Ter Ste B
Menasha, WI 54952-7016 - Phone
- (920) 738-9999
- Fax
- (920) 268-1921
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2887-125 | WI | |
| Professional Counselor | 101YP2500X | 2887-125 | WI | Primary |
Addresses
Primary practice location
1427 Province Ter Ste B
Menasha, WI 54952-7016
Mailing address
1350 Western St
Oshkosh, WI 54901-3670
Phone (920) 292-4579
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2887-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molinski Counseling & Consulting Services | Professional | Current | Accepting new patients |
| Psychology Associates of the Fox Cities | Past | Accepting new patients |
Locations
1427 Province Ter
Ste B
Menasha, WI 54952
Phone (920) 738-9999
Organizations & group practices 2
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.
-
- Professional Counselor
- Menasha, WI
- NPI 1174390108
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Appleton, WI
- NPI 1861655482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1942339841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 WESTERN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549013670",
"telephone_number": "920-292-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 PROVINCE TER STE B",
"city": "MENASHA",
"state": "WI",
"postal_code": "549527016",
"telephone_number": "920-738-9999",
"fax_number": "920-268-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "JUDY",
"middle_name": "ANN MARIE",
"credential": "MSE, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "2887-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2887-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.