NPIMap

Organization Active NPI

University of Wisconsin - la Crosse

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
National Provider Identifier
1386368041
Registry record updated Sep 27, 2022
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
UNIVERSITY OF WISCONSIN - LA CROSSE
Practice address
1725 State St
2106 Centennial Hall
La Crosse, WI 54601-5460
Phone
(608) 785-8073
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF WISCONSIN - LA CROSSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Crystal Dawn Champion, PHD, LPNPI 1689990285
Title
Director
Phone
(608) 785-8073

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

1725 State St
2106 Centennial Hall
La Crosse, WI 54601-5460

Mailing address

1725 State St
La Crosse, WI 54601-3742
Phone (608) 785-8073

Other names 1

  • Counseling and Testing Center Other name

National Provider Directory

National Provider Directory
Part of
University of Wisconsin - la Crosse

Locations

1725 State St
La Crosse, WI 54601
Phone (608) 785-6525

1725 State St
#2106
La Crosse, WI 54601
Phone (608) 785-8073

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1386368041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 STATE ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013742",
            "telephone_number": "608-785-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 STATE ST",
            "address_2": "2106 CENTENNIAL HALL",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015460",
            "telephone_number": "608-785-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN - LA CROSSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WISCONSIN - LA CROSSE",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-785-8073",
        "authorized_official_credential": "PHD, LP"
    },
    "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": "Counseling and Testing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.