LA CROSSE COUNSELING & WELLNESS, LLC (NPI# 1013439371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013439371 |
| Entity Type | Organization |
| Organization Name | LA CROSSE COUNSELING & WELLNESS, LLC |
| Practice Address |
704 Sand Lake Rd Ste 105 Onalaska WI 54650-2456 |
| Practice Telephone | (608) 799-3881 |
| Practice Fax Number | 6084402823 |
| Mailing Telephone | 6087993881 |
| Mailing Fax Number | 6084402823 |
| Enumeration Date | 2017-07-08 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | NICOLE R. JOHNSON (OWNER & PSYCHOTHERAPIST) |
| Authorized Official Telephone | 6086161010 |
| Authorized Official Credential | MS, LPC, SAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15560-131 | WI | Behavioral Health & Social Service Providers |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
3067-125 | WI | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
3067-125 | WI | Ambulatory Health Care Facilities |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3067-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPPES-TYPE I NPI | 1689616518 | 01 |
| Street Address |
704 SAND LAKE RD STE 105 |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689616518 | Nicole Rene Johnson | Counselor | 704 Sand Lake Rd Ste 105, Onalaska, WI 54650-2456 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760804850 | Nesi Lillard | Counselor | 14007 Us Highway 190 W, Onalaska, TX 77360-6975 | 2014-01-09 |
| 1285835843 | Sue Marie Kaufmann | Counselor | N5589 Commerce Rd, Ste.170a, Onalaska, WI 54650-9266 | 2007-05-30 |
| 1811447253 | Karen Lynn Wrolson | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2016-10-10 |
| 1497209464 | Tiffany Nicole Merchant | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2016-08-08 |
| 1003262080 | Sherrie L Walter | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2016-05-10 |
| 1407252489 | Gretchen Clements | Counselor | 123 16th Ave S, Onalaska, WI 54650-3109 | 2014-11-18 |
| 1356743496 | Michael John Sersch | Counselor | 123 16th Ave S, Onalaska, WI 54650-3109 | 2014-09-19 |
| 1962819060 | Jacqueline Ann Lenz | Counselor | 575 Lester Ave Ste 100, Onalaska, WI 54650-8695 | 2014-07-21 |
| 1982968566 | Juliette Madalene Olson | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2012-06-28 |
| 1376807859 | Jacquelyn M Brown | Counselor | 571 Braund St, Onalaska, WI 54650-8556 | 2012-06-28 |
| Find all providers in ONALASKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.