Organization Active NPI

Mosaic Counseling Group LLC

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1295183218
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on May 31, 2016

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.