Satori House Recovery Inc

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

SATORI HOUSE RECOVERY INC

Practice address

102 4TH Ave
Baraboo, WI 53913-2175

Phone

(606) 433-7329

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Jake Edward Niesen

Title

Director

Phone

(414) 335-5933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1134883200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 OAK CREST AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052736",
            "telephone_number": "414-335-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 4TH AVE",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132175",
            "telephone_number": "606-433-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATORI HOUSE RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "NIESEN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-335-5933"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Sabol
• Laura J Sachtjen
• Michelle Ann Samphere, L.P.N
• Nicole F Sandberg
• Alyssa Satek
• Sauk County
• Sauk County
• Sauk County
• Sauk County
• Sauk County Department of Human Services

• Peer Specialist in Baraboo, WI
• Providers in Baraboo, WI by specialty
• Peer Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.