NPIMap

Organization Active NPI

Peaceful Solutions Counseling

  • Community/Behavioral Health Agency
  • Wausau, WI
National Provider Identifier
1952525446
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2715 Issued in WI
Legal business name
PEACEFUL SOLUTIONS COUNSELING
Practice address
741 N 1St St
Wausau, WI 54403-4721
Phone
(715) 675-3458
Fax
(715) 675-7238
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Ms. Michaele Lee Shipway, LCSW
Title
Co-Executive Director
Phone
(715) 675-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2715 WI Primary

Addresses

Primary practice location

741 N 1St St
Wausau, WI 54403-4721

Mailing address

741 N 1St St
Wausau, WI 54403-4721
Phone (715) 675-3458

Other identifiers 1

IdentifierTypeStateIssuer
42249500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1720 Merrill Ave
Ste 300
Wausau, WI 54401
Phone (715) 675-3458

741 N 1st St
Wausau, WI 54403
Phone (715) 675-3458

731 N 1st St
Ste 5000
Wausau, WI 54403
Phone (715) 675-3458

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1952525446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034721",
            "telephone_number": "715-675-3458",
            "fax_number": "715-675-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N 1ST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034721",
            "telephone_number": "715-675-3458",
            "fax_number": "715-675-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL SOLUTIONS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "SHIPWAY",
        "authorized_official_first_name": "MICHAELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-675-3458",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42249500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.