Hidden Springs Clinic
Organization Active NPI Mental Health Counselor · Westby, WI
NPI 1447476247 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1447476247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2565 (WI)
- Legal business name
- HIDDEN SPRINGS CLINIC
- Practice address
- S1597 Hanson Rd
Westby, WI 54667-8396 - Phone
- (608) 634-2574
- Fax
- (608) 634-6918
- NPI assigned
- Apr 18, 2007
- Reactivated
- Nov 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Dean Alan Jensen, MSE LPC
- Title
- Owner Director
- Phone
- (608) 634-2574
Practitioners 2
-
Jane Conway, M.S, LPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 2565 | WI | Yes |
Addresses
Primary practice location
S1597 Hanson Rd
Westby, WI 54667-8396
Mailing address
S1597 Hanson Rd
Westby, WI 54667-8396
Phone (608) 634-2574
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43586200 | Medicaid | WI |
Other providers in Westby, WI
- Douglas J Glosemeyer
- Tiffiny Green
- Karin Hanson
- Aimee J. Harnish
- Monica Lynn Hart
- Hoff & Hoff
- Josie Hofslien
- Daniel J Iverson
- Karen Jansky
- Amanda Jensen
All providers in Westby, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.