Northern Woods Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NORTHERN WOODS WELLNESS LLC

Practice address

1235A Menomonie St
Eau Claire, WI 54703-5974

Phone

(715) 598-1568

Fax

(715) 800-0104

NPI assigned

Jan 31, 2025

Organization subpart

No

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

Authorized official

Name

Timothy Ryan Foster, MA, LPCNPI 1982148722

Title

Owner/Therapist

Phone

(715) 600-1966

Specialties & licenses 1

Addresses

Other names 1

• Timothy Foster Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

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

• Timothy Ryan Foster, LPC

  • Professional Counselor
  • Eau Claire, WI
  • NPI 1982148722
  Medicare reassignment Care Compare group NPD Authorized official
• Tara L Thiele

  • Mental Health Counselor
  • Menomonie, WI
  • NPI 1720625049

  Professional

  Medicare reassignment Care Compare group NPD
• Kelly Szozda Swartos, LCSW

  • Clinical Social Worker
  • Eau Claire, WI
  • NPI 1033876602
  Medicare reassignment NPD
• Satia Kavanaugh Vanderloop, PHD, CRC, LPC, CSAC

  • Professional Counselor
  • Little Chute, WI
  • NPI 1821611591
  NPD (past)

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1285447292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235A MENOMONIE ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035974",
            "telephone_number": "715-598-1568",
            "fax_number": "715-800-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235A MENOMONIE ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035974",
            "telephone_number": "715-598-1568",
            "fax_number": "715-800-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2194 Eastridge Ctr",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547013403",
            "country_code": "US",
            "telephone_number": "715-598-1568",
            "fax_number": "715-800-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN WOODS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "715-600-1966",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy Foster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Timothy Foster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Marie Normand
• North American Partners in Anesthesia Wisconsin SC
• Taylor Jackson North, DO, MS
• Northern Lights Psychiatric Services SC
• Northern Pines Ear Nose and Throat SC
• Northwest Journey - Eau Claire
• Northwest Radiation Oncology Associates, SC
• Linda L Norton, CSAC
• Heather D Noteboom, APRN-CNP
• Emily Novak, LMT

• Professional Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.