Individual provider Active NPI

Steven J Firkins, MS, LCSW,CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Black River Falls, WI
National Provider Identifier
1972533958
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1306-132 Issued in WI
Practice address
703 Rose St
Black River Falls, WI 54615-9201
Phone
(715) 284-4058
NPI assigned
Jul 4, 2006
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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 2904123 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 1306-132 WI Primary

Addresses

Primary practice location

703 Rose St
Black River Falls, WI 54615-9201

Mailing address

703 Rose St
Black River Falls, WI 54615-9201
Phone (715) 284-4058

Other identifiers 3

IdentifierTypeStateIssuer
2904-123OtherWICLINICAL SOCIAL WORKER
1306-132OtherWICLINICAL SUBSTANCE ABUSE
39264100MedicaidWI

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1306-132WIMDAddiction (Substance Use Disorder) Counselor
2904123WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1972533958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ROSE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159201",
            "telephone_number": "715-284-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ROSE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546159201",
            "telephone_number": "715-284-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRKINS",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MS, LCSW,CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2904123",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1306-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORKER",
            "identifier": "2904-123",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SUBSTANCE ABUSE",
            "identifier": "1306-132",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39264100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.