Mark Juergens Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

3265123 Issued in WI

Legal business name

MARK JUERGENS COUNSELING, LLC

Practice address

4330 Golf Terrace
Suite 214
Eau Claire, WI 54701

Phone

(715) 833-2121

Fax

(715) 833-2131

NPI assigned

Apr 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mark Juergens, LCSW, LPC

Title

Owner

Phone

(715) 833-2121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1174968580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 GOLF TERRACE",
            "address_2": "SUITE 214",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-2121",
            "fax_number": "715-833-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TERRACE",
            "address_2": "SUITE 214",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-833-2121",
            "fax_number": "715-833-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK JUERGENS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "JUERGENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-833-2121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "3265123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Manz, MD
• Sharon Manz, M.D.
• Maple Ridge Dental
• Brenda Lynn Marcy, FNP-BC
• Shaun T. Marczak, PA-C
• Brian James Markgren, D.C.
• Lauren Elizabeth Markgren, PA-C
• Tracy Marko, MD
• Dusan Petar Markovic, MD
• Nicole L Marquardt, PT

• Adult Mental Health Clinic/Center in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.