La Crosse Counseling & Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3067-125 Issued in WI

Legal business name

LA CROSSE COUNSELING & WELLNESS, LLC

Practice address

704 Sand Lake Rd Ste 105
Onalaska, WI 54650-2456

Phone

(608) 799-3881

Fax

(608) 440-2823

NPI assigned

Jul 8, 2017

Organization subpart

No

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

Authorized official

Name

Nicole R. Johnson, MS, LPC, SACNPI 1689616518

Title

Owner & Psychotherapist

Phone

(608) 616-1010

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicole Rene Johnson, M.S., L.P.C., S.A.C.

  • Mental Health Counselor
  • Onalaska, WI
  • NPI 1689616518

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013439371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-799-3881",
            "fax_number": "608-440-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 105",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-799-3881",
            "fax_number": "608-440-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CROSSE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-616-1010",
        "authorized_official_credential": "MS, LPC, SAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15560-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3067-125",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "3067-125",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WI",
            "license": "3067-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES-TYPE I NPI",
            "identifier": "1689616518",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Kujak, DMD, MS
• Amit P Kulkarni, MD
• Molly Kummer
• Kurt R. Hulse, D.D.S., S.C.
• Shivani Kushwaha, DDS
• Joseph Edward La Mere, ATC
• Stephanie Lynn Laliberte-Lorenz, O.D.
• Kirsten L Lamere, ATC,CSCS
• Fusheng Lan, M.S., L. AC.
• Brittany Kaye Lange, CNM

• Professional Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.