NPIMap

Organization Active NPI

Phoenix Alternatives, LLC

  • Community/Behavioral Health Agency
  • Chippewa Falls, WI
National Provider Identifier
1275711772
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2602 Issued in WI
Legal business name
PHOENIX ALTERNATIVES, LLC
Practice address
1692 Highway 53 North
Chippewa Falls, WI 54729
Phone
(715) 830-8270
Fax
(715) 830-8272
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Louise Gruenwald, M.S., LCSWNPI 1972770634
Title
Clinical Mental Health Director
Phone
(715) 830-8270

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2602 WI Primary

Addresses

Primary practice location

1692 Highway 53 North
Chippewa Falls, WI 54729

Mailing address

1692 Highway 53 North
Chippewa Falls, WI 54729
Phone (715) 830-8270

Other identifiers 1

IdentifierTypeStateIssuer
43008500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1692 State Highway 53
Chippewa Fls, WI 54729
Phone (715) 830-8270

Practitioners & affiliated clinicians

Practitioners 1

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": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1275711772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 HIGHWAY 53 NORTH",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-830-8270",
            "fax_number": "715-830-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 HIGHWAY 53 NORTH",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-830-8270",
            "fax_number": "715-830-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ALTERNATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "GRUENWALD",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL MENTAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "715-830-8270",
        "authorized_official_credential": "M.S., LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43008500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.