Achieve Wellness Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ACHIEVE WELLNESS CLINIC

Practice address

1417 Winchester Way
Suite 6
Altoona, WI 54720-5472

Phone

(715) 514-4734

Fax

(715) 832-9574

NPI assigned

Dec 6, 2019

Organization subpart

Yes

Parent organization

ACHIEVE WELLNESS, LLCAs reported in NPPES

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

Authorized official

Name

Catherine Guilliams-Chan

Title

Chief Executive Officer

Phone

(715) 832-9467

Specialties & licenses 1

Addresses

Tax ID family

Achieve Wellness LLC5 organizations share this tax ID, including this one

Part of

Achieve Wellness LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Achieve Health- Eau Claire

  • Primary Care Clinic/Center
  • Eau Claire, WI
  • NPI 1730903295
  NPD tax ID
• Achieve Wellness, LLC

  • Primary Care Clinic/Center
  • Chippewa Falls, WI
  • NPI 1912358128
  NPD tax ID
• Alexandria Industries Family Health & Wellness Clinic

  • Primary Care Clinic/Center
  • Alexandria, MN
  • NPI 1114471117
  NPD tax ID
• Crystal Family Care Clinic

  • Primary Care Clinic/Center
  • Princeton, MN
  • NPI 1487362232
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Achieve Wellness, LLC

  • Primary Care Clinic/Center
  • Chippewa Falls, WI
  • NPI 1912358128
  NPPES parent name

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1306483508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BIRCH ST STE 1B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032297",
            "telephone_number": "715-832-9467",
            "fax_number": "715-832-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 WINCHESTER WAY",
            "address_2": "SUITE 6",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547205472",
            "telephone_number": "715-514-4734",
            "fax_number": "715-832-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE WELLNESS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACHIEVE WELLNESS, LLC",
        "enumeration_date": "2019-12-06",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "GUILLIAMS-CHAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "715-832-9467"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Aarsvold, PT, DPT
• Tracy S Adkins, WHNP-BC
• Advanced Endodontics, SC
• Advanced Surgical and Restorative Care LLC
• Advanced Surgical and Restorative Care LLC
• Jeremy C Alderfer, MD

• Primary Care Clinic/Center in Altoona, WI
• Providers in Altoona, WI by specialty
• Primary Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.