ANNTIONETTE M FELLER CSAC NPI 1134187750

NPI Information

NPI: 1134187750
Provider Name: ANNTIONETTE M FELLER, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2005 HIGHLAND AVE
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-5454
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Anntionette M Feller, CSAC is an addiction (substance use disorder) counselor in Eau Claire, WI. Anntionette M Feller, CSAC NPI is 1134187750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2005 HIGHLAND AVE
EAU CLAIRE, WI
ZIP 54701-455
Phone: (715) 832-5454
Fax: (715) 832-2991

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		NA		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13209	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56001	OTHER	WISCONSIN	SECURITY HEALTH PLAN
2	637871032291	OTHER	MINNESOTA	PREFERRED ONE
3	39374200	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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