Active NPI
Autumn Lee Dante, LPC, NCC
- Professional Counselor
- Oshkosh, WI
National Provider Identifier
1942535968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3923-125
- Practice address
- 627 Bay Shore Dr
Oshkosh, WI 54901-5228 - Phone
- (920) 426-8988
- NPI assigned
- Oct 8, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3923-125 | WI | Primary |
Addresses
Primary practice location
627 Bay Shore Dr
Oshkosh, WI 54901-5228
Mailing address
2560 Hearthstone Dr
Oshkosh, WI 54901-1598
Phone (920) 379-6598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100013778 | Medicaid | WI |
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 |
|---|---|---|---|
| 3923-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1942535968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 HEARTHSTONE DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549011598",
"telephone_number": "920-379-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 BAY SHORE DR",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015228",
"telephone_number": "920-426-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANTE",
"first_name": "AUTUMN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-08",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3923-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100013778",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.