Organization Active NPI

Vesbach Counseling & Art Therapy, LLC

  • Community/Behavioral Health Agency
  • Fitchburg, WI
National Provider Identifier
1457891012
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5219-125 Issued in WI
Legal business name
VESBACH COUNSELING & ART THERAPY, LLC
Practice address
2976 Triverton Pike Dr Ste 110
Fitchburg, WI 53711-5840
Phone
(262) 719-6569
NPI assigned
Mar 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Mrs. Kristen L. Vesbach, MS, ATR-L, BC, LPC
Title
Owner
Phone
(262) 719-6569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5219-125 WI Primary

Addresses

Primary practice location

2976 Triverton Pike Dr Ste 110
Fitchburg, WI 53711-5840

Mailing address

2976 Triverton Pike Dr Ste 110
Fitchburg, WI 53711-5840
Phone (262) 719-6569

Other identifiers 1

IdentifierTypeStateIssuer
1336416635MedicaidWI

Other names 1

  • A Brush with Hope Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1457891012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 TRIVERTON PIKE DR STE 110",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115840",
            "telephone_number": "262-719-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 TRIVERTON PIKE DR STE 110",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115840",
            "telephone_number": "262-719-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESBACH COUNSELING & ART THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "VESBACH",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-719-6569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, ATR-L, BC, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "5219-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336416635",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Brush with Hope",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.