Active NPI
Youphoria3, LLC
- Counselor
- Eau Claire, WI
National Provider Identifier
1417844358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- YOUPHORIA3, LLC
- Practice address
- 800 Wisconsin St BLDG D02
Eau Claire, WI 54703-3588 - Phone
- (715) 529-0980
- NPI assigned
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cydney M Peterson
- Title
- Manager
- Phone
- (715) 529-0980
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Art Therapist | 221700000X |
Addresses
Primary practice location
800 Wisconsin St BLDG D02
Eau Claire, WI 54703-3588
Mailing address
E1750 Spruce Rd
Eleva, WI 54738-9074
Phone (715) 529-0980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y004573 | Other | WI | DEPARTMENT OF FINANCIAL INSTITUTIONS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1417844358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E1750 SPRUCE RD",
"city": "ELEVA",
"state": "WI",
"postal_code": "547389074",
"telephone_number": "715-529-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WISCONSIN ST BLDG D02",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033588",
"telephone_number": "715-529-0980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUPHORIA3, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "CYDNEY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "715-529-0980"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF FINANCIAL INSTITUTIONS",
"identifier": "Y004573",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.