Active NPI
Inner Ascent Counseling LLC
- Mental Health Counselor
- Rice Lake, WI
National Provider Identifier
1619648375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INNER ASCENT COUNSELING LLC
- Practice address
- 11 E Marshall St Ste 203
Rice Lake, WI 54868-1803 - Phone
- (715) 204-9095
- NPI assigned
- Sep 22, 2021
- 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
- Kaileen McMickle
- Title
- President
- Phone
- (715) 204-9095
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11 E Marshall St Ste 203
Rice Lake, WI 54868-1803
Mailing address
11 E Marshall St Ste 203
Rice Lake, WI 54868-1803
National Provider Directory
National Provider DirectoryLocations
11 E Marshall St
Ste 203
Rice Lake, WI 54868
Phone (715) 204-9095
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Rice Lake, WI
- NPI 1548718463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1619648375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E MARSHALL ST STE 203",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E MARSHALL ST STE 203",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548681803",
"telephone_number": "715-204-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER ASCENT COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-22",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A",
"authorized_official_last_name": "MCMICKLE",
"authorized_official_first_name": "KAILEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-204-9095"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.