C R Ross Services LLC

Key facts

NPI

1093600199

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

C R ROSS SERVICES LLC

Practice address

1507 Tower Ave Ste 207
Superior, WI 54880-2554

Phone

(715) 204-9664

NPI assigned

Jun 10, 2025

Organization subpart

No

Authorized official

Name

Celia Ross, LPC NPI 1013641760

Title

Owner

Phone

(715) 204-9664

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celia Rae Ross, MSED, LPC Mental Health Counselor · Superior, WI · NPI 1013641760
  Medicare reassignment NPD Authorized official MENTAL HEALTH · WI

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 10, 2025.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1093600199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 TOWER AVE STE 207",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802554",
            "telephone_number": "715-204-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 TOWER AVE STE 207",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802554",
            "telephone_number": "715-204-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R ROSS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-204-9664",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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