MARK W JUERGENS LCSW LPC NPI 1376509588

NPI Information

NPI: 1376509588
Provider Name: MARK W JUERGENS, LCSW LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4330 GOLF TER
SUITE 214
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 833-2121
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Mark W Juergens, LCSW LPC is a professional counselor in Eau Claire, WI. Mark W Juergens, LCSW LPC NPI is 1376509588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4330 GOLF TER
SUITE 214
EAU CLAIRE, WI
ZIP 54701-683
Phone: (715) 833-2121
Fax: (715) 833-2131

The enumeration date for this NPI number is 4/25/2006 and was last updated on 5/8/2013.

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	101YP2500X	Counselor	Professional	1839125	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	6250399	OTHER	MINNESOTA	MEDICA UBH UHC
2	40986200	MEDICAID	WISCONSIN
3	574	OTHER	MINNESOTA	BCBS MN
4	95846	OTHER	WISCONSIN	SECURITY HEALTH PLAN
5	HP52029	OTHER	MINNESOTA	HEALTH PARTNERS

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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