Organization Active NPI

Soar Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shell Lake, WI
National Provider Identifier
1437571569
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2506 Issued in WI
Legal business name
SOAR SERVICES, INC.
Practice address
246 Industrial Blvd
Shell Lake, WI 54871-8889
Phone
(715) 468-2841
Fax
(715) 468-2374
NPI assigned
Jan 8, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael Turgeon, LPCNPI 1174645204
Title
Director
Phone
(715) 468-2841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240610001306 WI Part B Supplier - Clinic/Group Practice 6406398163 Receives reassigned benefits from 11 practitioners
Practice locations: Park Falls, WI; Superior, WI; Siren, WI; Shell Lake, WI; Ashland, WI; Hayward, WI

National Provider Directory

National Provider Directory

Locations

801 Lake Shore Dr W
Ashland, WI 54806

370 3rd Ave S
Park Falls, WI 54552
Phone (715) 762-2188

246 Industrial Blvd
Shell Lake, WI 54871

24670 State Road 35 70
Ste 700
Siren, WI 54872

3712 Tower Ave
Ste C
Superior, WI 54880
Phone (218) 355-8388

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2506 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

246 Industrial Blvd
Shell Lake, WI 54871-8889

Mailing address

PO Box 265
Shell Lake, WI 54871-0265
Phone (715) 468-2841

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1497939524MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2014.

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1437571569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548710265",
            "telephone_number": "715-468-2841",
            "fax_number": "715-468-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 INDUSTRIAL BLVD",
            "city": "SHELL LAKE",
            "state": "WI",
            "postal_code": "548718889",
            "telephone_number": "715-468-2841",
            "fax_number": "715-468-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "TURGEON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-468-2841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "2506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497939524",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shell Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.