Organization Active NPI

Positive Regard LLC

  • Clinical Social Worker
  • Mount Pleasant, WI
National Provider Identifier
1124764758
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
POSITIVE REGARD LLC
Practice address
5801 Washington Ave Ste 201C
Mount Pleasant, WI 53406-4057
Phone
(262) 909-5674
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Kaylee P Johnson, MSW, LCSWNPI 1821655184
Title
Psychotherapist
Phone
(262) 909-5674

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5801 Washington Ave Ste 201C
Mount Pleasant, WI 53406-4057

Mailing address

5045 Briarwood LN
Racine, WI 53402-2183
Phone (262) 909-5674

National Provider Directory

National Provider Directory

Locations

5801 Washington Ave
Ste 201C
Mount Pleasant, WI 53406
Phone (262) 900-1768

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1124764758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 BRIARWOOD LN",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534022183",
            "telephone_number": "262-909-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 WASHINGTON AVE STE 201C",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064057",
            "telephone_number": "262-909-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE REGARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAYLEE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "262-909-5674",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.