Eclectic Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ECLECTIC COUNSELING

Practice address

704 Sand Lake Rd Ste 205
Onalaska, WI 54650-2456

Phone

(608) 519-1400

Fax

(608) 519-0446

NPI assigned

Sep 20, 2021

Last updated

Sep 20, 2021By 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

Billie Jo Marie Jester, LCSW

Title

Owner, Psychotherapist

Phone

(608) 317-0879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1356011324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 205",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-519-1400",
            "fax_number": "608-519-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 205",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502456",
            "telephone_number": "608-519-1400",
            "fax_number": "608-519-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "JESTER",
        "authorized_official_first_name": "BILLIE JO",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "608-317-0879",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.