Southwoods Counseling Clinic, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2306 Issued in WI

Legal business name

SOUTHWOODS COUNSELING CLINIC, LLC

Practice address

4714 Commerce Valley Rd
Suite B
Eau Claire, WI 54701-9033

Phone

(715) 834-1000

Fax

(715) 834-1170

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By 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

Heidi Siverling-Bauer, CMA

Title

Office Manager

Phone

(715) 834-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Sandra Helpsmeet, M.S., LMFT

  • Marriage & Family Therapist
  • Eau Claire, WI
  • NPI 1942357199
  NPD (past)
• Cynthia Leavitt, RN, M.S., LMFT

  • Marriage & Family Therapist
  • Eau Claire, WI
  • NPI 1114084340
  NPD (past)
• Pamela Quezaire, MSE CSAC ICS

  • Mental Health Counselor
  • Kiel, WI
  • NPI 1053468207
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386701514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 COMMERCE VALLEY RD",
            "address_2": "SUITE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019033",
            "telephone_number": "715-834-1000",
            "fax_number": "715-834-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 COMMERCE VALLEY RD",
            "address_2": "SUITE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547019033",
            "telephone_number": "715-834-1000",
            "fax_number": "715-834-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWOODS COUNSELING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVERLING-BAUER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-834-1000",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42223000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon J Sormrud, SAC-IT
• Kimberlyn Rachael Sorvaag, MSW, APSW
• Brooke Sosalla, OD
• South Eau Claire Rehabilitation and Nursing Center LLC (Dove Healthcare - South Eau Claire)
• Mark Southard, MD
• Adeloye Omoyemi Soyege, MD
• Maria Joan Spadaro
• Michael John Spak, MD
• Angela M Spangberg, OT
• Leslie A Spangler, DDS

• Mental Health Counselor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.