Organization Active NPI

The Therapy Place of la Crosse, LLC

  • Community/Behavioral Health Agency
  • La Crosse, WI
National Provider Identifier
1063802445
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3447-125 Issued in WI
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

Updated by the provider on Jan 23, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3447-125OtherWILICENSE NUMBER
4303-123OtherWILICENSE NUMBER
6938-123OtherLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.