Active NPI
Resonating Change LLC
- Community/Behavioral Health Agency
- Lake Mills, WI
National Provider Identifier
1477980969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4567-125
- Legal business name
- RESONATING CHANGE LLC
- Practice address
- 613 Jefferson St
Lake Mills, WI 53551-1736 - Phone
- (920) 988-3372
- Fax
- (888) 972-4891
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Venessa Farn, LPC-SASD,NCC,CTS
- Title
- Owner
- Phone
- (306) 240-4570
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4567-125 | WI | Primary |
Addresses
Primary practice location
613 Jefferson St
Lake Mills, WI 53551-1736
Mailing address
PO Box 335
Lake Mills, WI 53551-0335
Phone (306) 240-4570
National Provider Directory
National Provider DirectoryLocations
613 Jefferson St
Lake Mills, WI 53551
Phone (920) 728-4634
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Lake Mills, WI
- NPI 1932499811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1477980969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 335",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535510335",
"telephone_number": "306-240-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 JEFFERSON ST",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535511736",
"telephone_number": "920-988-3372",
"fax_number": "888-972-4891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESONATING CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-30",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "FARN",
"authorized_official_first_name": "VENESSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "306-240-4570",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC-SASD,NCC,CTS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "4567-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.