Fresh Approach LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRESH APPROACH LLC

Practice address

8848 Sarah B LN Ste a
Woodruff, WI 54568-9330

Phone

(715) 439-4144

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By 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

Tiffany Cummings, LCSWNPI 1528498516

Title

Owner

Phone

(715) 439-4144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Tiffany Cummings, MSW, LCSW

  • Clinical Social Worker
  • Woodruff, WI
  • NPI 1528498516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1396468336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 SARAH B LN STE A",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689330",
            "telephone_number": "715-439-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 SARAH B LN STE A",
            "city": "WOODRUFF",
            "state": "WI",
            "postal_code": "545689330",
            "telephone_number": "715-439-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH APPROACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-439-4144",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Evans, MS OTR
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• Alexander Kiel Flora, DDS
• Syd Dale Foster, DO
• Megan L. Fritz, PTA
• Judy L Fuller, RADCI
• Zachary D. Furtak, LAT
• Kyle Micheal Gamoke, PT, DPT
• Michel P Gelinas, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodruff, WI
• Providers in Woodruff, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.