Organization Active NPI

Arbor Place, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menomonie, WI
National Provider Identifier
1598899353
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ARBOR PLACE, INC.
Practice address
4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone
(715) 235-4537
Fax
(715) 235-4535
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Chris Chouinard
Title
Finance Manager
Phone
(715) 235-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4076 Kothlow Ave
Menomonie, WI 54751-3090

Mailing address

4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone (715) 235-4537

Other practice location 1

103 S 2nd St
River Falls, WI 54022-2402
Phone (715) 629-7469

Other identifiers 1

IdentifierTypeStateIssuer
42148200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Arbor Place Inc4 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

103 S 2nd St
River Falls, WI 54022
Phone (715) 629-7469

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1598899353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 S 2nd St",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "540222402",
            "country_code": "US",
            "telephone_number": "715-629-7469",
            "fax_number": "715-629-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARBOR PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "CHOUINARD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "715-235-4537"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42148200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

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

Verify at the official NPI Registry.