Suasponte Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUASPONTE CENTER, LLC

Practice address

N8311 County Rd N
Neshkoro, WI 54960-8807

Phone

(920) 229-7274

Fax

(920) 239-6021

NPI assigned

Mar 11, 2024

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Richards, LPCNPI 1235266990

Title

Owner

Phone

(920) 229-7274

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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.

• Linda Richards, LPC

  • Professional Counselor
  • Neshkoro, WI
  • NPI 1235266990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1699533968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N8311 COUNTY RD N",
            "city": "NESHKORO",
            "state": "WI",
            "postal_code": "549608807",
            "telephone_number": "920-229-7274",
            "fax_number": "920-239-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8311 COUNTY RD N",
            "city": "NESHKORO",
            "state": "WI",
            "postal_code": "549608807",
            "telephone_number": "920-229-7274",
            "fax_number": "920-239-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUASPONTE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-229-7274",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medvan Transport LLC
• Linda Richards, LPC
• Christine Solberg, LM, CPM
• Truly Divine at Home Care LLC

• Community/Behavioral Health Agency in Neshkoro, WI
• Providers in Neshkoro, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.