River Valley Renewal Counseling and Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RIVER VALLEY RENEWAL COUNSELING AND WELLNESS CENTER

Practice address

809 US Highway 8
Saint Croix Falls, WI 54024-8335

Phone

(715) 483-7300

Fax

(715) 483-7301

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Tammy Breault, MA, LPCNPI 1902207012

Title

Ceo

Phone

(715) 483-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Tammy Breault

  • Professional Counselor
  • Saint Croix Falls, WI
  • NPI 1902207012
  NPD Authorized official

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1205436292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 US HIGHWAY 8",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248335",
            "telephone_number": "715-483-7300",
            "fax_number": "715-483-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 US HIGHWAY 8",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540248335",
            "telephone_number": "715-483-7300",
            "fax_number": "715-483-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY RENEWAL COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "BREAULT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-483-7300",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902207012",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy@rivervalleyrenewal.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "809 US Highway 8",
            "city": "Saint Croix Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540248335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucas Pineda Bernal, M.D.
• Jennifer L Rader, M.D.
• Jessica Rose Rasmussen, PHARM.D
• Danielle K Redburn, DPM
• River Valley Pharmacy Inc (River Valley Pharmacy)
• Kelly L Rombach, COTA
• Janine Elaine Rose, MD
• Joseph L Ruegemer, MD
• Scenic River Dental LLC
• Kelly L Schmidt, CNM, FNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.