Stephanie T Nicolet, MS,MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

402 Technology Dr E
Menomonie, WI 54751-2370

Phone

(715) 235-4245

Fax

(715) 235-4421

NPI assigned

Dec 19, 2013

Last updated

Dec 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Marriage and Family Therapist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Counseling LLCGroup PAC ID 3678711900, 43 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collaborative Counseling LLC

  • Mental Health Counselor
  • Maple Grove, MN
  • NPI 1598034324

  WI

  Medicare reassignment Care Compare group NPD
• Northwest Journey - Menomonie Day Treatment

  • Adolescent and Children Mental Health Clinic/Center
  • Menomonie, WI
  • NPI 1770600413
  NPD (past)

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1992126858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 TECHNOLOGY DR E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512370",
            "telephone_number": "715-235-4245",
            "fax_number": "715-235-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 TECHNOLOGY DR E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512370",
            "telephone_number": "715-235-4245",
            "fax_number": "715-235-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLET",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MS,MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynnae Nehring, COTA
• Rachael Lynn Nellessen
• Carrie Jo Nelson, M.D.
• Justin Nelson, LAT
• Edward Newton, APNP
• Karlye K. Nieman, SAC
• Orissa Nitibhon, DMD
• Robert M Norby, DDS
• Kelly Lynn Shanley Nordstrom, PHARMD
• Noreen Family Homes Inc

• Marriage & Family Therapist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.