Organization Active NPI

Lutheran Counseling & Family Services

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1497828735
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2211125 Issued in WI
Legal business name
LUTHERAN COUNSELING & FAMILY SERVICES
Practice address
601 Fall St
Eau Claire, WI 54703-3157
Phone
(715) 524-4840
Fax
(715) 524-4236
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chuck Meseck, PSY.D
Title
Executive Director
Phone
(414) 536-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2211125 WI Primary

Addresses

Primary practice location

601 Fall St
Eau Claire, WI 54703-3157

Mailing address

601 Fall St
Eau Claire, WI 54703-3157
Phone (715) 524-4840

Other identifiers 1

IdentifierTypeStateIssuer
39214500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Counseling Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

601 Fall St
Eau Claire, WI 54703
Phone (715) 524-4840

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497828735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FALL ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033157",
            "telephone_number": "715-524-4840",
            "fax_number": "715-524-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FALL ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033157",
            "telephone_number": "715-524-4840",
            "fax_number": "715-524-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN COUNSELING & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MESECK",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "14145368333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2211125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39214500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.