NPIMap

Organization Active NPI

County of Trempealeau Tchcc

  • Psychiatry Physician
  • Whitehall, WI
National Provider Identifier
1215268552
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
000062045 Issued in WI
Legal business name
COUNTY OF TREMPEALEAU TCHCC
Practice address
W20410 State Road 121
Whitehall, WI 54773-9147
Phone
(715) 538-4312
Fax
(715) 538-2426
NPI assigned
Jan 27, 2010
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF TREMPEALEAUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Lori A Glaunert
Title
Finance Director
Phone
(715) 538-4312

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 000062045 WI
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 54557 WI
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X 000062045 WI Primary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 950 WI
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 7026-33 WI

Addresses

Primary practice location

W20410 State Road 121
Whitehall, WI 54773-9147

Mailing address

W20410 State Road 121
Whitehall, WI 54773-9147
Phone (715) 538-4312

Other practice location 1

W20298 St Rd 121
Whitehall, WI 54773-9685
Phone (715) 538-4312

Other names 1

  • Trempealeau County Health Care Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000776 WI Part B Supplier - Clinic/Group Practice 9133149156 Receives reassigned benefits from 6 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Blair, WI; Whithall, WI; Whitehall, WI; Pigeon Falls, WI; Independence, WI

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Trempealeau County Heal27 organizations share this tax ID, including this one
Part of
Trempealeau County Heal

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

N36595 County Road QQQ
Whitehall, WI 54773

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1215268552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W20410 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739147",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W20410 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739147",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W20298 St Rd 121",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WI",
            "postal_code": "547739685",
            "country_code": "US",
            "telephone_number": "715-538-4312",
            "fax_number": "715-538-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF TREMPEALEAU TCHCC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF TREMPEALEAU",
        "enumeration_date": "2010-01-27",
        "last_updated": "2021-04-15",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "GLAUNERT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "715-538-4312"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "000062045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "54557",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "000062045",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "950",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7026-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trempealeau County Health Care Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Trempealeau County Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitehall, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.