NPIMap

Organization Active NPI

Holistic Life Services LLC

  • Professional Counselor
  • Menomonie, WI
National Provider Identifier
1396617742
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HOLISTIC LIFE SERVICES LLC
Practice address
500 Main St E Ste 317
Menomonie, WI 54751-2513
Phone
(715) 563-0915
Fax
(715) 200-5973
NPI assigned
Sep 23, 2025
Last updated
Apr 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Authorized official

Name
Carolyn R Mnichowicz, MS. CRC LPC-ITNPI 1508738949
Title
Owner
Phone
(715) 563-0915

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

500 Main St E Ste 317
Menomonie, WI 54751-2513

Mailing address

PO Box 4
Menomonie, WI 54751-0004
Phone (715) 563-0915

Other practice location 1

500 Main St E Ste 322
Menomonie, WI 54751-2513
Phone (715) 563-0915

Other practice location 2

611 Bielenberg Dr Ste 3
Woodbury, MN 55125-1432
Phone (715) 563-0915

National Provider Directory

National Provider Directory

Locations

611 Bielenberg Dr
Ste 3
Woodbury, MN 55125
Phone (715) 563-0915

500 Main St E
Ste 317
Menomonie, WI 54751
Phone (715) 563-0915

500 Main St E
Ste 322
Menomonie, WI 54751
Phone (715) 563-0915

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1396617742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547510004",
            "telephone_number": "715-563-0915",
            "fax_number": "715-200-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAIN ST E STE 317",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512513",
            "telephone_number": "715-563-0915",
            "fax_number": "715-200-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Main St E Ste 322",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547512513",
            "country_code": "US",
            "telephone_number": "715-563-0915",
            "fax_number": "715-200-5973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Bielenberg Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551251432",
            "country_code": "US",
            "telephone_number": "715-563-0915",
            "fax_number": "715-200-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "MNICHOWICZ",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-563-0915",
        "authorized_official_credential": "MS. CRC LPC-IT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; 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.