Active NPI
John P Rislove, LICSW
- Clinical Social Worker
- Onalaska, WI
National Provider Identifier
1396727376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3840
- Practice address
- 123 16TH Ave S
Onalaska, WI 54650-3109 - Phone
- (608) 796-8646
- NPI assigned
- Nov 16, 2005
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7561 | MN | |
| Clinical Psychologist | 103TC0700X | 3840123 | WI | |
| Clinical Social Worker | 1041C0700X | 3840 | WI | Primary |
Addresses
Primary practice location
123 16TH Ave S
Onalaska, WI 54650-3109
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118042 | Other | MN | U CARE |
| 5H180RI | Other | MN | BCBS |
| 43707800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7561 | MN | MD | Clinical Psychologist |
| 3840123 | WI | MD | Clinical Psychologist |
| 3840 | WI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- johnrislove@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1396727376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 16TH AVE S",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546503109",
"telephone_number": "608-796-8646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISLOVE",
"first_name": "JOHN",
"middle_name": "P",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "7561",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3840123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U CARE",
"identifier": "118042",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5H180RI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43707800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Onalaska, WI
- Revive Chiropractic Wellness Center, LLC
- Maria Richardson, FNP
- Richland County Care, LLC (Coulee Region Adult Day Center)
- Richland County Care, LLC (Coulee Region Adult Day Center)
- Rising Hope Therapy LLC
- Debra Sue Rislow, RN
- Alexandria Ritzema
- River City Chiropractic S.C.
- River Valley Chiropractic Center, SC
- River Valley Chiropractic SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.