Organization Active NPI

Northern Lights Behavioral Health, LLC

  • Social Worker
  • Appleton, WI
National Provider Identifier
1376482497
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
NORTHERN LIGHTS BEHAVIORAL HEALTH, LLC
Practice address
4321 W College Ave Ste 200
Appleton, WI 54914-3968
Phone
(920) 215-1645
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Emily M Hoch, MSW, CAPSW, CSACNPI 1033485552
Title
Owner, Mental Health Therapist
Phone
(920) 215-1645

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
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

4321 W College Ave Ste 200
Appleton, WI 54914-3968

Mailing address

W2306 Khloe LN
Freedom, WI 54913-2726
Phone (920) 215-1645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420003301 WI Part B Supplier - Clinic/Group Practice 2062988694 Receives reassigned benefits from 1 practitioner
Practice locations: Appleton, WI

National Provider Directory

National Provider Directory

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": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1376482497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2306 KHLOE LN",
            "city": "FREEDOM",
            "state": "WI",
            "postal_code": "549132726",
            "telephone_number": "920-215-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W COLLEGE AVE STE 200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143968",
            "telephone_number": "920-215-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "HOCH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "920-215-1645",
        "authorized_official_credential": "MSW, CAPSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.