NPIMap

Organization Active NPI

Blue Hills Counseling LLC

  • Mental Health Counselor
  • Rice Lake, WI
National Provider Identifier
1265406227
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1563 Issued in WI
Legal business name
BLUE HILLS COUNSELING LLC
Practice address
1035 N Main St
Rice Lake, WI 54868-1260
Phone
(715) 234-4313
Fax
(715) 736-0194
NPI assigned
Feb 15, 2006
Last updated
Jan 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Judy M Effertz, AD
Title
Owner
Phone
(715) 234-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1563 WI Primary

Addresses

Primary practice location

1035 N Main St
Rice Lake, WI 54868-1260

Mailing address

1035 N Main St
Rice Lake, WI 54868-1260
Phone (715) 234-4313

Other identifiers 1

IdentifierTypeStateIssuer
42164000MedicaidWI

Other names 1

  • Marriage and Family Therapy Services Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1265406227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681260",
            "telephone_number": "715-234-4313",
            "fax_number": "715-736-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N MAIN ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548681260",
            "telephone_number": "715-234-4313",
            "fax_number": "715-736-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILLS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "EFFERTZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-234-4313",
        "authorized_official_credential": "AD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42164000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marriage and Family Therapy Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.