Active NPI
Bria Baumgard, LPC, LASOP
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1962235689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178016319
- Practice address
- N14W23777 Stone Ridge Dr Ste 290
Waukesha, WI 53188-1140 - Phone
- (414) 667-5809
- Fax
- (262) 393-2462
- NPI assigned
- Aug 20, 2024
- 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 | 178016319 | IL | Primary |
Addresses
Primary practice location
N14W23777 Stone Ridge Dr Ste 290
Waukesha, WI 53188-1140
Mailing address
N14W23777 Stone Ridge Dr Ste 290
Waukesha, WI 53188-1140
Phone (507) 822-3224
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 |
|---|---|---|---|
| 178016319 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empyrean Ventures Inc | Professional | Current | Accepting new patients |
Locations
N14W23777 Stone Ridge Dr
Ste 290
Waukesha, WI 53188
Phone (262) 716-7580
Organizations & group practices 1
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": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1962235689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N14W23777 STONE RIDGE DR STE 290",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881140",
"telephone_number": "507-822-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N14W23777 STONE RIDGE DR STE 290",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881140",
"telephone_number": "414-667-5809",
"fax_number": "262-393-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARD",
"first_name": "BRIA",
"credential": "LPC, LASOP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178016319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.