Counseling and Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

3195-123 Issued in WI

Legal business name

COUNSELING AND PSYCHOLOGICAL SERVICES, LLC

Practice address

158 S Anderson St
Rhinelander, WI 54501-3447

Phone

(715) 362-6390

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Connie Newman, LCSW

Title

Owner

Phone

(715) 492-8652

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Counseling and Psychological Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Counseling & Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rhinelander, WI
  • NPI 1902238280
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Girard

  • Professional Counselor
  • Hayward, WI
  • NPI 1245687417
  NPD (past)
• Emily Ludwig

  • Clinical Social Worker
  • Ashland, WI
  • NPI 1346641669
  NPD (past)
• Karla Vinci, MSE, LPC

  • Professional Counselor
  • Ashland, WI
  • NPI 1427422039
  NPD (past)

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1659619310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548430745",
            "telephone_number": "715-699-1500",
            "fax_number": "715-699-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S ANDERSON ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013447",
            "telephone_number": "715-362-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-492-8652",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "3195-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11614648",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39616700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Johathon Conway, DPT
• Emily Corcoran
• Cornerstone Psychological Associates, LLC
• Eunice Corujo-Incha, MD
• Counseling & Psychological Services
• Courtney Street Rehab Clinic LTD
• Jeanne Craig
• Jonathan Currie, M.D.
• Thomas J D'Innocenzo Jr., CRNA
• Jayson Dahlquist, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.