Active NPI
Amarra Bricco
- Professional Counselor
- Appleton, WI
National Provider Identifier
1942720073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7540-125
- Practice address
- 3416 N Association Dr
Appleton, WI 54914-1479 - Phone
- (920) 364-9078
- NPI assigned
- Jun 20, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3558-226 | WI | |
| Professional Counselor | 101YP2500X | 7540-125 | WI | Primary |
Addresses
Primary practice location
3416 N Association Dr
Appleton, WI 54914-1479
Mailing address
3416 N Association Dr
Appleton, WI 54914-1479
Phone (920) 364-9078
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 |
|---|---|---|---|
| 3558-226 | WI | MD | Professional Counselor |
| 7540-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1942720073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 N ASSOCIATION DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141479",
"telephone_number": "920-364-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 N ASSOCIATION DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549141479",
"telephone_number": "920-364-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICCO",
"first_name": "AMARRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-20",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3558-226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7540-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.