Organization Active NPI

Red Cedar Psychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
National Provider Identifier
1376305219
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RED CEDAR PSYCHOLOGY LLC
Practice address
3120 Schneider Ave SE Ste 606
Menomonie, WI 54751-2591
Phone
(715) 505-6105
NPI assigned
Jan 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Erin Kay Mabry-Hilleshiem, MSNPI 1447821616
Title
Therapist
Phone
(715) 505-6105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3120 Schneider Ave SE Ste 606
Menomonie, WI 54751-2591

Mailing address

E5948 510TH Ave
Menomonie, WI 54751-5610
Phone (715) 505-6105

Other names 1

  • Mabry Counseling, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3120 Schneider Ave SE
Ste 606
Menomonie, WI 54751
Phone (715) 505-6105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1376305219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E5948 510TH AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547515610",
            "telephone_number": "715-505-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SCHNEIDER AVE SE STE 606",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512591",
            "telephone_number": "715-505-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CEDAR PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "MABRY-HILLESHIEM",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "715-505-6105",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabry Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.