TRIVIUM LLC (NPI# 1114342441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114342441 |
| Entity Type | Organization |
| Organization Name | TRIVIUM LLC |
| Other Organization Name | CROSSROADS COUNSELING CENTER |
| Practice Address |
17 S River St Janesville WI 53548-3860 |
| Practice Telephone | 6087555260 |
| Practice Fax Number | 6087555267 |
| Mailing Telephone | 6087555260 |
| Mailing Fax Number | 6087555267 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | TIMOTHY PERRY (ADMINISTRATOR) |
| Authorized Official Telephone | 6087555260 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1265 | WI | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
1265 | WI | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1265 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CROSSROADS COUNSELING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265450753 | Trivium LLC | Clinic/Center | 17 S. River St., Suite 254, Janesville, WI 53548-3863 | 2006-07-17 |
| 1427463066 | Trivium LLC | Clinic/Center | 778 Lois Dr, Sun Prairie, WI 53590-1100 | 2014-06-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Trivium LLC | 2301 Stantonsburg Road, Wilson, NC 27893 |
| Street Address |
17 S RIVER ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437451945 | Jocelyn Marie Mallon | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2010-12-03 |
| 1386027779 | Ashlee R Dahl | Counselor | 17 S River St, 254, Janesville, WI 53548-3863 | 2015-07-02 |
| 1710382601 | Hasan Raza | Physician Assistant | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2014-11-04 |
| 1184990954 | Heather K. Maslonka | Counselor | 17 S River St, Janesville, WI 53548-3860 | 2012-03-27 |
| 1053685602 | Kelley F Everson | Counselor | 17 S River St, 254, Janesville, WI 53548-3860 | 2012-02-29 |
| 1821378357 | Tami R Dosch | Social Worker | 17 S River St, Janesville, WI 53548-3860 | 2011-08-29 |
| 1740574037 | Alisa L Thompson | Counselor | 17 S River St, Suite 254, Janesville, WI 53548-3860 | 2011-06-03 |
| 1699064808 | Jennifer L Chellevold | Counselor | 17 S River St, 254, Janesville, WI 53548-3860 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316297492 | Alcocare Inc. | Clinic/Center | 314 W Court St, Janesville, WI 53548-3846 | 2012-09-15 |
| 1265450753 | Trivium LLC | Clinic/Center | 17 S. River St., Suite 254, Janesville, WI 53548-3863 | 2006-07-17 |
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|---|---|---|---|---|
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| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
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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.