Christian Community Resources, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33333 Issued in WI

Legal business name

CHRISTIAN COMMUNITY RESOURCES, LLC

Doing business as

Freedom Counseling

Practice address

2141 Altoona Ave
Suite C
Eau Claire, WI 54701-3429

Phone

(715) 552-7350

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Michael Lace, PSYDNPI 1023133022

Title

Psychologist

Phone

(715) 838-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Freedom Counseling Doing business as

Locations

Practitioners 1

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

• Michael Albin Lace, PSYD

  • Psychologist
  • Eau Claire, WI
  • NPI 1023133022
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1104026665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1426",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021426",
            "telephone_number": "715-552-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 ALTOONA AVE",
            "address_2": "SUITE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013429",
            "telephone_number": "715-552-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COMMUNITY RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "LACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "715-838-8898",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "33333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39365600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Choi, JD, DMD, MSD
• CHP-LTS, Inc.
• Ellen A Christensen, OT
• Nicholas James Christensen, DO
• Allison Mae Christenson
• Christian Harbor Youth Camp, Inc
• Rachel Elizabeth Christiansen
• Brandi Christianson, SAC-IT
• Darryl L Christianson, MS LCSW
• Lon D Christianson, MD

• Clinical Psychologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.