Keelin Packard, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

128381-121 Issued in WI

Practice address

9433 County Rd J
Minocqua, WI 54548-9318

Phone

(715) 356-5377

Fax

(715) 356-5378

NPI assigned

Jan 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Centre for Well-Being, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wausau, WI
  • NPI 1144426495
  Medicare reassignment NPD
• Options Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greendale, WI
  • NPI 1720369366
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1982027827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1550",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545011550",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 COUNTY RD J",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489318",
            "telephone_number": "715-356-5377",
            "fax_number": "715-356-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "KEELIN",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "128381-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Novak
• Blain E. Nyberg, R.PH.
• Options Counseling Services, LLC
• Jaime M Owens, NP
• Todd Paavola
• Pain Relief, Inc.
• David McClary Paul, LCSW
• Kayla Pearsall
• Timothy S. Phillips, MD
• Joseph M Pilarski, D.C.

• Social Worker in Minocqua, WI
• Providers in Minocqua, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.