Organization Active NPI

Therapy & Tattoos LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Neenah, WI
National Provider Identifier
1063208882
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
THERAPY & TATTOOS LLC
Practice address
335 1St St Ste C
Neenah, WI 54956-2704
Phone
(920) 717-4388
Fax
(920) 486-9049
NPI assigned
Apr 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Sarah L Blackburn, LPCNPI 1205589660
Title
Owner
Phone
(253) 880-9800

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

335 1St St Ste C
Neenah, WI 54956-2704

Mailing address

649 Belmont CT
Neenah, WI 54956-3403
Phone (253) 880-9800

National Provider Directory

National Provider Directory

Locations

335 1st St
Ste C
Neenah, WI 54956
Phone (920) 717-4388

Practitioners & affiliated clinicians

Practitioners 1

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": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1063208882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 BELMONT CT",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563403",
            "telephone_number": "253-880-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 1ST ST STE C",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562704",
            "telephone_number": "920-717-4388",
            "fax_number": "920-486-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY & TATTOOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-880-9800",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.