Provider Demographics
NPI:1326198870
Name:BARKER, JOYCE CARYN (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:CARYN
Last Name:BARKER
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:412 WEST KINNE STREET
Mailing Address - City:ELLSWORTH
Mailing Address - State:WI
Mailing Address - Zip Code:54011-0670
Mailing Address - Country:US
Mailing Address - Phone:715-273-6770
Mailing Address - Fax:715-273-6862
Practice Address - Street 1:412 WEST KINNE STREET
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:WI
Practice Address - Zip Code:54011-0670
Practice Address - Country:US
Practice Address - Phone:715-273-6770
Practice Address - Fax:715-273-6862
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3505-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1045645OtherPREFERRED ONE
MNHP76189OtherHEALTHPARTNERS
WI43591400Medicaid