Active NPI
Making Connections
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Richmond, IL
National Provider Identifier
1376746750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MAKING CONNECTIONS
- Practice address
- 9716 US Highway 12
Richmond, IL 60071-9253 - Phone
- (262) 208-0078
- NPI assigned
- Jun 6, 2007
- Last updated
- Oct 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larissa Marie Didriksen, LCSW
- Title
- Owner
- Phone
- (262) 208-0078
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
9716 US Highway 12
Richmond, IL 60071-9253
Mailing address
W1037 Aralia Rd
Genoa City, WI 53128-1574
Phone (262) 208-0078
National Provider Directory
National Provider DirectoryLocations
9716 US Highway 12
Richmond, IL 60071
Phone (262) 208-0078
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.
-
- Clinical Social Worker
- Richmond, IL
- NPI 1790243756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572220800000",
"number": "1376746750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1037 ARALIA RD",
"city": "GENOA CITY",
"state": "WI",
"postal_code": "531281574",
"telephone_number": "262-208-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9716 US HIGHWAY 12",
"city": "RICHMOND",
"state": "IL",
"postal_code": "600719253",
"telephone_number": "262-208-0078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAKING CONNECTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2019-10-28",
"status": "A",
"authorized_official_last_name": "DIDRIKSEN",
"authorized_official_first_name": "LARISSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-208-0078",
"authorized_official_credential": "LCSW"
},
"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": []
}
Other providers in Richmond, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.