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Organization Active NPI

Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Chippewa Falls, WI
National Provider Identifier
1386969723
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2872 Issued in WI
Legal business name
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Practice address
411 N Bridge St
Chippewa Falls, WI 54729-2504
Phone
(833) 420-1103
NPI assigned
Mar 29, 2010
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF WI & UPPER MI. INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Tara Treglowne
Title
Coo
Phone
(414) 246-2300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 13165 WI
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2872 WI Primary

Addresses

Primary practice location

411 N Bridge St
Chippewa Falls, WI 54729-2504

Mailing address

6737 W Washington St Ste 2275
West Allis, WI 53214-5666
Phone (414) 246-2300

Other names 1

  • Lutheran Social Services of WI and Upper MI Outpatient Counseling Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000700 WI Part B Supplier - Clinic/Group Practice 2668383084 Receives reassigned benefits from 5 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Appleton, WI; Beloit, WI; Chippewa Falls, WI; Eau Claire, WI; Janesville, WI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Serv14 organizations share this tax ID, including this one
Part of
Lutheran Social Serv

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

127 W Central St
Chippewa Falls, WI 54729
Phone (715) 726-9023

411 N Bridge St
Chippewa Falls, WI 54729
Phone (833) 420-1103

201 W Central St
Chippewa Falls, WI 54729

130 W Central St
Chippewa Fls, WI 54729
Phone (715) 720-1443

Practitioners & affiliated clinicians

Practitioners 8

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1386969723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST STE 2275",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145666",
            "telephone_number": "414-246-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292504",
            "telephone_number": "833-420-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF WI & UPPER MI. INC.",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "TREGLOWNE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-246-2300"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13165",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Social Services of WI and Upper MI Outpatient Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lutheran Social Services of WI and Upper MI Outpatient Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.