Organization Active NPI

Driftless Recovery Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crosse, WI
National Provider Identifier
1407271695
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DRIFTLESS RECOVERY SERVICES, INC.
Practice address
444 Main St
Suite 301
La Crosse, WI 54601-3261
Phone
(608) 386-6154
NPI assigned
Feb 25, 2014
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Mr. Brett A KnutsonNPI 1093001703
Title
President/Co-Founder
Phone
(608) 519-5906

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16304-130 WI
Addiction (Substance Use Disorder) Counselor 101YA0400X 12863-130 WI
Mental Health Counselor 101YM0800X 1231-226 WI
Psychiatry Physician 2084P0800X 27182 WI

Addresses

Primary practice location

444 Main St
Suite 301
La Crosse, WI 54601-3261

Mailing address

114 Vernon St
Westby, WI 54667-1122
Phone (608) 386-6154

Other identifiers 5

IdentifierTypeStateIssuer
1215147558OtherNPI
39330PLOtherBCBS
055508800MedicaidWI
1093001703OtherNPI
1992787725OtherNPI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2227227Driftless Recovery Inc444 Main Street, Ste 301, La Crosse, WI 54601Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory

Locations

444 Main St
Ste 301
La Crosse, WI 54601
Phone (608) 386-6154

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1407271695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VERNON ST",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546671122",
            "telephone_number": "608-386-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MAIN ST",
            "address_2": "SUITE 301",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013261",
            "telephone_number": "608-386-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTLESS RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CO-FOUNDER",
        "authorized_official_telephone_number": "608-519-5906",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16304-130",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12863-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1231-226",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "27182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215147558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39330PL",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055508800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093001703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992787725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.