Active NPI
Maddie Kortes, MS
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1972971406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6495-125
- Practice address
- 2005 Highland Ave
Eau Claire, WI 54701-4455 - Phone
- (715) 832-5454
- Fax
- (715) 832-2991
- NPI assigned
- Sep 15, 2015
- 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 | 6495-125 | WI | Primary |
Addresses
Primary practice location
2005 Highland Ave
Eau Claire, WI 54701-4455
Mailing address
2005 Highland Ave.
Eau Claire, WI 54701
Phone (715) 832-5454
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6495-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1972971406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE.",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "54701",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 HIGHLAND AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014455",
"telephone_number": "715-832-5454",
"fax_number": "715-832-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORTES",
"first_name": "MADDIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6495-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.