HIAWATHA VALLEY MENTAL HEALTH CENTER (NPI# 1477865103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477865103 |
| Entity Type | Organization |
| Organization Name | HIAWATHA VALLEY MENTAL HEALTH CENTER |
| Practice Address |
319 Main St La Crosse WI 54601-0705 |
| Mailing Address |
166 Main St Winona MN 55987-3405 |
| Practice Telephone | 6087961168 |
| Practice Fax Number | 6087961944 |
| Mailing Telephone | 5074544341 |
| Mailing Fax Number | 5074536267 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |
| Authorized Official Name | JULIE HANSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5074544341 |
| Is Organization Subpart | Y |
| Parent Organization Name | HIAWATHA VALLEY MENTAL HEALTH CENTER |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 25475540 | 05 | |
| WI | 100007314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215327432 | Hiawatha Valley Mental Health Center | Clinic/Center | 2835 S Service Dr Ste 103, Red Wing, MN 55066-1835 | 2015-01-26 |
| 1912223033 | Hiawatha Valley Mental Health Center | Clinic/Center | 121 S Marshall St, Caledonia, MN 55921-1326 | 2010-04-14 |
| 1962659532 | Hiawatha Valley Mental Health Center | Clinic/Center | 611 Broadway Ave, Suite 100, Wabasha, MN 55981-1988 | 2008-08-26 |
| 1225285893 | Hiawatha Valley Mental Health Center | Community/Behavioral Health | 166 Main St, Winona, MN 55987-3405 | 2008-08-26 |
| Street Address |
319 MAIN ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-0705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487144267 | Natalie Rose Duerkop | Counselor | 319 Main St, La Crosse, WI 54601-0705 | 2018-05-16 |
| 1487059440 | Melissa Fannin | Counselor | 319 Main St, Suite 510, La Crosse, WI 54601-0705 | 2014-11-01 |
| 1205124708 | Janet Marie Kusch | Counselor | 319 Main St, 303, La Crosse, WI 54601-0705 | 2011-07-18 |
| 1972808525 | Ashley Helen Grimsled | Counselor | 319 Main St, #303, La Crosse, WI 54601-0705 | 2011-01-12 |
| 1699957241 | Garrison Counseling, Inc. | Community/Behavioral Health | 319 Main St, Suite 303, La Crosse, WI 54601-0705 | 2007-12-05 |
| 1992915292 | Todd Hoffe | Counselor | 319 Main St, Ste. 302, La Crosse, WI 54601-0705 | 2007-05-23 |
| 1962621003 | New Beginnings Counseling Clinic, Inc. | Counselor | 319 Main St, Ste 302, La Crosse, WI 54601-0705 | 2007-04-25 |
| 1881813913 | Hoffe Counseling, Inc. | Counselor | 319 Main St, Ste 302, La Crosse, WI 54601-0705 | 2007-04-25 |
| 1427125749 | Deborah Lynn Garrison | Social Worker | 319 Main St, Ste 510, La Crosse, WI 54601-0710 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802445 | The Therapy Place of La Crosse, LLC | Community/Behavioral Health | 700 3rd St N Ste 202a, La Crosse, WI 54601-3288 | 2015-01-23 |
| 1396099602 | Family Preservation Services, Inc. | Community/Behavioral Health | 1000 School Cir, La Crosse, VA 23950-2210 | 2012-11-08 |
| 1306123070 | Coulee Council On Addictions | Community/Behavioral Health | 921 West Ave S, La Crosse, WI 54601-4745 | 2011-11-09 |
| 1730338716 | Coulee Region Counseling & Consulting | Community/Behavioral Health | W5073 County Road B, La Crosse, WI 54601-2983 | 2008-09-15 |
| 1821281577 | Coulee Youth Centers, Inc. | Community/Behavioral Health | 231 Copeland Ave, La Crosse, WI 54603-3086 | 2007-08-24 |
| 1730740010 | Family Preservation Services, Inc. | Community/Behavioral Health | 1000 School Cir, La Crosse, VA 23950-2210 | 2019-06-26 |
| 1548764806 | Coulee Connections, LLC | Community/Behavioral Health | 99 Milwaukee St, La Crosse, WI 54603-3179 | 2018-03-21 |
| 1437507183 | Acs Clinical Services, LLC | Community/Behavioral Health | 811 Rose St, La Crosse, WI 54603-2634 | 2016-06-02 |
| 1851715684 | Family & Children's Center Youth Act | Community/Behavioral Health | 1707 Main St, La Crosse, WI 54601-4200 | 2014-02-14 |
| 1457674004 | La Crosse Center for Children and Families, LLC | Community/Behavioral Health | 2920 East Ave S, La Crosse, WI 54601-8231 | 2010-03-10 |
| Find all providers in LA CROSSE | ||||
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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.