Provider Demographics
NPI:1205427770
Name:LINSMEYER, NATAYA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:NATAYA
Middle Name:MARIE
Last Name:LINSMEYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATAYA
Other - Middle Name:MARIE
Other - Last Name:NUSSBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:800 WILSON AVENUE
Mailing Address - Street 2:RM 330
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2746
Mailing Address - Country:US
Mailing Address - Phone:715-256-7166
Mailing Address - Fax:888-427-8048
Practice Address - Street 1:800 WILSON AVENUE
Practice Address - Street 2:RM 330
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2746
Practice Address - Country:US
Practice Address - Phone:715-256-7166
Practice Address - Fax:888-427-8048
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10338-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional