Individual provider Active NPI

Victoria Marie Walsh

  • Professional Counselor
  • New Richmond, WI
National Provider Identifier
1972925121
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5247-125 Issued in WI
Practice address
1477 S Knowles Ave
Suite 130
New Richmond, WI 54017-2529
Phone
(715) 246-4840
Fax
(715) 246-4108
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5247-125 WI Primary

Addresses

Primary practice location

1477 S Knowles Ave
Suite 130
New Richmond, WI 54017-2529

Mailing address

1477 S Knowles Ave
Suite 130
New Richmond, WI 54017-2529
Phone (715) 246-4840

Other names 1

  • Victoria Marie Ranallo-Walsh Former name

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

LicenseStateTypeSpecialty
5247-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1972925121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 S KNOWLES AVE",
            "address_2": "SUITE 130",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172529",
            "telephone_number": "715-246-4840",
            "fax_number": "715-246-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S KNOWLES AVE",
            "address_2": "SUITE 130",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172529",
            "telephone_number": "715-246-4840",
            "fax_number": "715-246-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5247-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "RANALLO-WALSH",
            "middle_name": "MARIE",
            "credential": "MS, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.