Driftless Counseling LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

DRIFTLESS COUNSELING LLC

Practice address

118 E Jefferson St
Viroqua, WI 54665-1613

Phone

(608) 606-6789

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Ruder, LMFT

Title

Director

Phone

(608) 606-6789

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Sandberg

  • Clinical Social Worker
  • Viroqua, WI
  • NPI 1316486731
  NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1023640695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 5TH AVE",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651815",
            "telephone_number": "608-606-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E JEFFERSON ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546651613",
            "telephone_number": "608-606-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "RUDER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-606-6789",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316486731",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285029280",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A Deutsch, LPC
• Phoebe Devitt
• Mary Denise Doerr, CNM, APNP
• Jane A Domroese, PA
• Kim W Dowat, CNM
• Driftless Health LLC
• Holly Dwyer, LPC-IT
• Mary Anne Edwards, RPH
• Jennifer L Eissfeldt, CNM
• Zoe M Ellerbusch, LPC-IT

• Marriage & Family Therapist in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.