Georgia May Wiese-Moen, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3046-125 Issued in WI

Practice address

101 W. McMillan Ste 2B
Marshfield, WI 54449

Phone

(715) 389-9382

Fax

(715) 389-9381

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Georgia M Wiese Former name

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Charis Counseling LLCGroup PAC ID 1456244276, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Charis Counseling, LLC

  • Professional Counselor
  • Wausau, WI
  • NPI 1427144054
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1982716122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MCMILLAN ST STE 2B",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491031",
            "telephone_number": "715-389-9382",
            "fax_number": "715-389-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W. MCMILLAN STE 2B",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "54449",
            "telephone_number": "715-389-9382",
            "fax_number": "715-389-9381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Stewart Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014162",
            "country_code": "US",
            "telephone_number": "715-848-0525",
            "fax_number": "715-848-8665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE-MOEN",
        "first_name": "GEORGIA",
        "middle_name": "MAY",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "3046-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3046-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43583900",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cschroder@chariscounselingwi.com",
            "affiliation": "N",
            "endpointDescription": "Credentialing/Billing",
            "address_1": "2620 Stewart Ave Ste 310",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GEORGIA",
            "last_name": "WIESE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip Logan Whitfield, PHARMD
• Brook Wibben, RDH
• Ronald A. Wibel, C. PED.
• Alexander Robert Wiedbusch, DPT
• Daniel Wierzba
• Tera R Wiesman, PAC
• Jeffrey L Wild, M.D.
• Carley Wilharm, OTR/L
• Alyssa Wilhelm
• Juliet J Will, OT

• Professional Counselor in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.