NPIMap

Organization Active NPI

Trailways LLC

Doing business as Trailways Counseling

  • Mental Health Counselor
  • Waunakee, WI
National Provider Identifier
1639790256
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRAILWAYS LLC
Doing business as
Trailways Counseling
Practice address
101 E Main St Ste 4
Waunakee, WI 53597-1196
Phone
(608) 886-9023
Fax
(608) 200-2417
NPI assigned
May 5, 2020
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Angie Grogan
Title
Partner/Director of Operations
Phone
(608) 301-5376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

101 E Main St Ste 4
Waunakee, WI 53597-1196

Mailing address

PO Box 454
Waunakee, WI 53597-0454
Phone (608) 886-9023

Other practice location 1

2560 E Main St
Reedsburg, WI 53959-9472
Phone (608) 886-9023

Other practice location 2

1021 N Superior Ave Ste 10
Tomah, WI 54660-1192
Phone (608) 886-9023

Other identifiers 1

IdentifierTypeStateIssuer
4370400MedicaidWI

Other names 1

  • Trailways Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240319001485 WI Part B Supplier - Clinic/Group Practice 7214374842 Receives reassigned benefits from 9 practitioners
Practice locations: Reedsburg, WI; Tomah, WI; Waunakee, WI

National Provider Directory

National Provider Directory

Locations

2560 E Main St
Reedsburg, WI 53959
Phone (608) 355-4103

1001 Arboretum Dr
Ste 110
Waunakee, WI 53597
Phone (608) 301-5376

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1639790256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535970454",
            "telephone_number": "608-886-9023",
            "fax_number": "608-200-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST STE 4",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971196",
            "telephone_number": "608-886-9023",
            "fax_number": "608-200-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 E Main St",
            "address_purpose": "LOCATION",
            "city": "Reedsburg",
            "state": "WI",
            "postal_code": "539599472",
            "country_code": "US",
            "telephone_number": "608-886-9023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 N Superior Ave Ste 10",
            "address_purpose": "LOCATION",
            "city": "Tomah",
            "state": "WI",
            "postal_code": "546601192",
            "country_code": "US",
            "telephone_number": "608-886-9023",
            "fax_number": "608-886-9023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRAILWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "GROGAN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PARTNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "608-301-5376"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4370400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trailways Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waunakee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.