Cosan Leighis LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

COSAN LEIGHIS LLC

Practice address

145 2ND St W
Wabasha, MN 55981-1245

Phone

(715) 279-8591

NPI assigned

Jan 17, 2023

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Colleen Etzbach, RHDNPI 1326560889

Title

Owner/Psychotherapist

Phone

(715) 279-8591

Specialties & licenses 1

Addresses

Locations

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.

• Colleen Etzbach, RHD, LPC

  • Professional Counselor
  • Wabasha, MN
  • NPI 1326560889
  NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1457066284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 2ND ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811245",
            "telephone_number": "715-279-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 2ND ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811245",
            "telephone_number": "715-279-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSAN LEIGHIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ETZBACH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "715-279-8591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remington James Brisbois, DDS
• Susan J. Buck, FNP
• Brianna Byam
• Andrew Christensen, D.D.S.
• City of Wabasha (Wabasha Ambulance Service)
• County of Wabasha (Wabasha County Public Health)
• Crossroads Behavioral Health, P.L.C.
• Jeffrey Darling, PT
• Thomas Edward Dudley, M.D.
• Scott Holt Durand, DDS

• Professional Counselor in Wabasha, MN
• Providers in Wabasha, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.