Active NPI
Mosaic Counseling Group LLC
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1295183218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MOSAIC COUNSELING GROUP LLC
- Practice address
- 3430 Oakwood Mall Dr
Eau Claire, WI 54701-3850 - Phone
- (715) 864-1187
- NPI assigned
- May 31, 2016
- 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
- Jodi Bright, LPC
- Title
- Co-Owner
- Phone
- (715) 864-1187
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3430 Oakwood Mall Dr
Eau Claire, WI 54701-3850
Mailing address
724 S Main St
Chippewa Falls, WI 54729-3218
National Provider Directory
National Provider DirectoryLocations
3119 Golf Rd
Ste 105
Eau Claire, WI 54701
3430 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 864-1187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Eau Claire, WI
- NPI 1922446939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464652800000",
"number": "1295183218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 S MAIN ST",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 OAKWOOD MALL DR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013850",
"telephone_number": "715-864-1187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSAIC COUNSELING GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-31",
"last_updated": "2016-05-31",
"status": "A",
"authorized_official_last_name": "BRIGHT",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "715-864-1187",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.