Organization Active NPI

Elite Shifts, LLC

Doing business as Intentional Minds

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1467204933
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ELITE SHIFTS, LLC
Doing business as
Intentional Minds
Practice address
4330 Golf Ter Ste 202
Eau Claire, WI 54701-4688
Phone
(715) 201-4209
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Ms. Alexis McDonald, LPCNPI 1710456108
Title
Licensed Professional Counselor/Own
Phone
(715) 533-2879

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4330 Golf Ter Ste 202
Eau Claire, WI 54701-4688

Mailing address

422 Putnam St
Eau Claire, WI 54703-3221

Other names 1

  • Intentional Minds Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1467204933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 PUTNAM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 GOLF TER STE 202",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014688",
            "telephone_number": "715-201-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SHIFTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/OWN",
        "authorized_official_telephone_number": "715-533-2879",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intentional Minds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 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.