TRIVIUM LLC


Address: 17 S. River St., Suite 254, Janesville, WI 53548-3863
Phone: 6087555260

TRIVIUM LLC (NPI# 1265450753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265450753
Entity Type Organization
Organization Name TRIVIUM LLC
Other Organization Name CROSSROADS COUNSELING CENTER
Practice Address 17 S. River St.
Suite 254
Janesville
WI 53548-3863
Mailing Address 17 S. River St
Suite 254
Janesville
WI 53548-3863
Practice Telephone 6087555260
Practice Fax Number 6087555267
Mailing Telephone 6087555260
Mailing Fax Number 6087555267
Enumeration Date 2006-07-17
Last Update Date 2014-12-11
Authorized Official Name MR. TIMOTHY F. PERRY (ADMINISTRATOR)
Authorized Official Telephone 6087555260
Authorized Official Credential MSSW, LCSW, LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
1265 WI Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
2868 WI Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
1265 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 42105900 05

Other Provider/Organization Names

Other Name Type Code
Crossroads Counseling Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1427463066 Trivium LLC Clinic/Center 778 Lois Dr, Sun Prairie, WI 53590-1100 2014-06-23
1114342441 Trivium LLC Clinic/Center 17 S River St, Janesville, WI 53548-3860 2014-02-24

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Trivium LLC 2301 Stantonsburg Road, Wilson, NC 27893

Office Location

Street Address 17 S. RIVER ST.
SUITE 254
City JANESVILLE
State WI
Zip Code 53548-3863

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760833099 Samantha J Ball Counselor 17 S. River St., 254, Janesville, WI 53548-3863 2016-06-28
1649620725 Prairie L Degraw Counselor 17 S. River St., Suite 254, Janesville, WI 53548-3863 2016-06-20
1902281033 Douglas H Fleischfresser Counselor 17 S. River St., Suite 254, Janesville, WI 53548-3863 2015-07-30
1093113458 Kendra J Bechtol Social Worker 17 S. River St., Suite 254, Janesville, WI 53548-3863 2014-12-16
1659779148 Rena Ann Cross Counselor 17 S. River St., Suite 254, Janesville, WI 53548-3863 2014-12-15
1609202035 Guy W Shilts IIi Counselor 17 S. River St., Suite 254, Janesville, WI 53548-3863 2013-09-17
1841524485 Rachel Ann Hansen Psychologist 17 S. River St., Suite 254, Janesville, WI 53548 2009-09-30
1992956957 David Kohlmeyer Social Worker 17 S. River St., Suite 254, Janesville, WI 53548 2008-10-08
1790932671 Kelly Nicole Mckinnon Counselor 17 S. River St., Suite 254, Janesville, WI 53548 2008-08-22

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316297492 Alcocare Inc. Clinic/Center 314 W Court St, Janesville, WI 53548-3846 2012-09-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477151439 Tetzlaff & Myhre Psychotherapy and Assessments, LLC Clinic/Center N55w37178 Roland St, Oconomowoc, WI 53066-5321 2020-10-13
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
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Competitor

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City JANESVILLE
Zip Code 53548

Improve Information

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Dataset Information

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.

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