Active NPI
Conscious Practice, LLC
- Psychiatric/Mental Health Nurse Practitioner
- La Crosse, WI
National Provider Identifier
1235779240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CONSCIOUS PRACTICE, LLC
- Practice address
- 119 19TH St N
La Crosse, WI 54601-3724 - Phone
- (608) 406-4477
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Gorski, PMHNP
- Title
- Owner
- Phone
- (608) 406-4477
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
119 19TH St N
La Crosse, WI 54601-3724
Mailing address
505 King St Ste 218
La Crosse, WI 54601-4289
Phone (608) 406-4477
National Provider Directory
National Provider DirectoryLocations
119 19th St N
La Crosse, WI 54601
Phone (608) 406-4477
505 King St
Ste 218
La Crosse, WI 54601
Phone (608) 406-4477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- La Crosse, WI
- NPI 1396140398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1235779240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 KING ST STE 218",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014289",
"telephone_number": "608-406-4477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 19TH ST N",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013724",
"telephone_number": "608-406-4477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSCIOUS PRACTICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A",
"authorized_official_last_name": "GORSKI",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-406-4477",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.