Maureen Ann Pohle, L.P.C.

Key facts

NPI

1982877403

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

3946-125 (WI)

Practice address

1444 E Devonshire Rd
Delafield, WI 53018-1916

Phone

(262) 894-3540

Fax

(262) 303-4765

NPI assigned

Apr 4, 2008

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 28, 2015.

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1982877403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 E DEVONSHIRE RD",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181916",
            "telephone_number": "262-894-3540",
            "fax_number": "262-303-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 E DEVONSHIRE RD",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181916",
            "telephone_number": "262-894-3540",
            "fax_number": "262-303-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHLE",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3946-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43725200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Delafield, WI · Professional Counselor in Wisconsin