Organization Active NPI

Winding Rivers Counseling LLC

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1093424087
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WINDING RIVERS COUNSELING LLC
Practice address
4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688
Phone
(715) 514-0493
Fax
(877) 855-2504
NPI assigned
Nov 17, 2022
Last updated
Nov 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Danielle Hagedorn, MS, LPC, SAC, NCCNPI 1750928347
Title
Licensed Professional Counselor
Phone
(715) 514-0493

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688

Mailing address

4330 Golf Ter Ste 207
Eau Claire, WI 54701-4688
Phone (715) 514-0493

Other identifiers 3

IdentifierTypeStateIssuer
1750928347MedicaidWI
1104585959MedicaidWI
100095629MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250225000064 WI Part B Supplier - Clinic/Group Practice 4880114602 Receives reassigned benefits from 2 practitioners
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

1101 W Clairemont Ave
Ste 1E4
Eau Claire, WI 54701
Phone (715) 379-3235

4330 Golf Ter
Ste 207
Eau Claire, WI 54701
Phone (715) 514-0493

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1093424087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 207",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-514-0493",
            "fax_number": "877-855-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 207",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-514-0493",
            "fax_number": "877-855-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING RIVERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "HAGEDORN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "715-514-0493",
        "authorized_official_credential": "MS, LPC, SAC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750928347",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104585959",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095629",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.