Active NPI
Michelle Lehman
- Professional Counselor
- Wautoma, WI
National Provider Identifier
1992443048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7204-226
- Practice address
- Family Health la Clinica
400 S. Townline Rd
Wautoma, WI 54982-6922 - Phone
- (920) 787-5514
- Fax
- (920) 787-4737
- NPI assigned
- May 26, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | 7204-226 | WI | Primary |
Addresses
Primary practice location
Family Health la Clinica
400 S. Townline Rd
Wautoma, WI 54982-6922
Mailing address
Family Health la Clinica
400 S. Townline Rd
Wautoma, WI 54982
Phone (920) 787-5514
Other practice location 1
302 W Lake Street
Friendship, WI 53934-5393
Phone (608) 474-4355
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | WAUTOMA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7204-226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1992443048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FAMILY HEALTH LA CLINICA",
"address_2": "400 S. TOWNLINE RD",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "54982",
"telephone_number": "920-787-5514",
"fax_number": "920-787-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY HEALTH LA CLINICA",
"address_2": "400 S. TOWNLINE RD",
"city": "WAUTOMA",
"state": "WI",
"postal_code": "549826922",
"telephone_number": "920-787-5514",
"fax_number": "920-787-4737"
}
],
"practiceLocations": [
{
"address_1": "302 W LAKE STREET",
"address_purpose": "LOCATION",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539345393",
"country_code": "US",
"telephone_number": "608-474-4355",
"fax_number": "608-474-4309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEHMAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7204-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "WAUTOMA",
"affiliation": "N",
"address_1": "Family Health La Clinica",
"address_2": "400 S. Townline Rd",
"city": "WAUTOMA",
"state": "WI",
"country_code": "US",
"postal_code": "549826922",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wautoma, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.