Individual provider Active NPI

Judy Ann Marie Hoffmann, MSE, LPC, NCC

  • Professional Counselor
  • Menasha, WI
National Provider Identifier
1942339841
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2887-125 Issued in WI
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

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2887-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Molinski Counseling & Consulting Services Professional CurrentSince Dec 17, 2023 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.

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.

Verify at the official NPI Registry.