NPIMap

Organization Active NPI

Couples & Family Therapy Center, LLC

  • Marriage & Family Therapist
  • Hudson, WI
National Provider Identifier
1073747804
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
693-124 Issued in WI
Legal business name
COUPLES & FAMILY THERAPY CENTER, LLC
Practice address
2217 Vine St
Suite 206
Hudson, WI 54016-5863
Phone
(715) 441-1828
Fax
(888) 802-9673
NPI assigned
May 7, 2009
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Cindy Grajkowski
Title
Owner, Clinical Director, LMFT
Phone
(715) 441-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 693-124 WI Primary

Addresses

Primary practice location

2217 Vine St
Suite 206
Hudson, WI 54016-5863

Mailing address

2217 Vine St
Suite 206
Hudson, WI 54016-5863
Phone (715) 441-1828

Other practice location 1

99 Cherry Ave S
Annandale, MN 55302-9415
Phone (715) 441-1828

National Provider Directory

National Provider Directory

Locations

2217 Vine St
Ste 206
Hudson, WI 54016
Phone (651) 317-4544

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1073747804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 VINE ST",
            "address_2": "SUITE 206",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165863",
            "telephone_number": "715-441-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 VINE ST",
            "address_2": "SUITE 206",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165863",
            "telephone_number": "715-441-1828",
            "fax_number": "888-802-9673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Cherry Ave S",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "MN",
            "postal_code": "553029415",
            "country_code": "US",
            "telephone_number": "715-441-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUPLES & FAMILY THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "GRAJKOWSKI",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR, LMFT",
        "authorized_official_telephone_number": "715-441-1828"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "693-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

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