Coulee Council on Addictions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1240 Issued in WI

Legal business name

COULEE COUNCIL ON ADDICTIONS

Practice address

921 West Ave S
La Crosse, WI 54601-4745

Phone

(608) 784-4177

Fax

(608) 784-6302

NPI assigned

Nov 9, 2011

Last updated

Nov 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Ruda

Title

Executive Director

Phone

(608) 784-4177

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1306123070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014745",
            "telephone_number": "608-784-4177",
            "fax_number": "608-784-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 WEST AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014745",
            "telephone_number": "608-784-4177",
            "fax_number": "608-784-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULEE COUNCIL ON ADDICTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "RUDA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-784-4177"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42230400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marguerite F Costigan, PT
• Casey M Coughlin, MSW, APSW
• Coulee Children's Center, Inc
• Coulee Chiropractic Clinic, S.C.
• Coulee Connections, LLC
• Coulee Family Dental LLC
• Coulee Region Counseling & Consulting
• Coulee Region Psychiatric Services, S.C.
• Coulee Youth Centers, Inc.
• Counseling Associates (Counseling Associates, LLC)

• Community/Behavioral Health Agency in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.