NPIMap

Organization Active NPI

Yahara Counseling Center, LLC

  • Counselor
  • Monona, WI
National Provider Identifier
1003168139
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4572-125 Issued in WI
Legal business name
YAHARA COUNSELING CENTER, LLC
Practice address
6320 Monona Dr Ste 408
Monona, WI 53716-3975
Phone
(608) 467-9074
Fax
(608) 467-9075
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Marilsa Hansen, M.S.NPI 1770926446
Title
Professional Licensed Counselor
Phone
(608) 838-7931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 4572-125 WI Primary

Addresses

Primary practice location

6320 Monona Dr Ste 408
Monona, WI 53716-3975

Mailing address

5203 N Autumn LN
MC Farland, WI 53558-8612
Phone (608) 838-7931

National Provider Directory

National Provider Directory

Locations

6320 Monona Dr
Ste 408
Monona, WI 53716
Phone (608) 467-9074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1003168139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 N AUTUMN LN",
            "city": "MC FARLAND",
            "state": "WI",
            "postal_code": "535588612",
            "telephone_number": "608-838-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 MONONA DR STE 408",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163975",
            "telephone_number": "608-467-9074",
            "fax_number": "608-467-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHARA COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "MARILSA",
        "authorized_official_title_or_position": "PROFESSIONAL LICENSED COUNSELOR",
        "authorized_official_telephone_number": "608-838-7931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "4572-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.