Clear Path Therapy LLC

Primary specialty

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

Legal business name

CLEAR PATH THERAPY LLC

Practice address

200 Mason St Ste 11
Onalaska, WI 54650-7061

Phone

(608) 769-6466

NPI assigned

Jul 19, 2021

Organization subpart

No

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

Authorized official

Name

Michelle BoisenNPI 1669016051

Title

License Professional Counselor

Phone

(608) 769-6466

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Michelle Boisen

  • Counselor
  • La Crosse, WI
  • NPI 1669016051
  NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1255904363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MASON ST STE 11",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MASON ST STE 11",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507061",
            "telephone_number": "608-769-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR PATH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "BOISEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "608-769-6466"
    },
    "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": "1669016051",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Onalaska",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Mason St Ste 11",
            "city": "Onalaska",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546507061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly K Ciszewski, DPT
• Clarity Therapy Center LLC
• Cynthia Lynn Clark-Ericksen, M.S.
• Charles E Clark, MD
• Lori Clayton, MS, ATC, PES
• Kelsey L Clemens, DO
• Gretchen Clements, LPC, CSW
• Sarah A Clements, O.D.
• Stefanie Clements, RN
• Megan Ann Cogswell, LPN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Onalaska, WI
• Providers in Onalaska, 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 Jul 19, 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.