Active NPI
The Therapy Place of la Crosse, LLC
- Community/Behavioral Health Agency
- La Crosse, WI
National Provider Identifier
1063802445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3447-125
- Legal business name
- THE THERAPY PLACE OF LA CROSSE, LLC
- Practice address
- 700 3Rd St N Ste 202a
La Crosse, WI 54601-3288 - Phone
- (608) 317-7327
- NPI assigned
- Jan 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Sue Hellwig-Cottrell, MS, LPC
- Title
- Owner
- Phone
- (608) 317-7327
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3447-125 | WI | Primary |
| Community/Behavioral Health Agency | 251S00000X | 4303-123 | WI | |
| Community/Behavioral Health Agency | 251S00000X | 6938-123 | WI |
Addresses
Primary practice location
700 3Rd St N Ste 202a
La Crosse, WI 54601-3288
Mailing address
700 3Rd St N Ste 202a
La Crosse, WI 54601-3288
Phone (608) 317-7327
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3447-125 | Other | WI | LICENSE NUMBER |
| 4303-123 | Other | WI | LICENSE NUMBER |
| 6938-123 | Other | LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421971200000",
"number": "1063802445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 3RD ST N STE 202A",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013288",
"telephone_number": "608-317-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 3RD ST N STE 202A",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013288",
"telephone_number": "608-317-7327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE THERAPY PLACE OF LA CROSSE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-23",
"last_updated": "2015-01-23",
"status": "A",
"authorized_official_last_name": "HELLWIG-COTTRELL",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-317-7327",
"authorized_official_credential": "MS, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "3447-125",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "4303-123",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "6938-123",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3447-125",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "4303-123",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "6938-123",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.