Family Counseling Service of Wausau Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1321 Issued in WI

Legal business name

FAMILY COUNSELING SERVICE OF WAUSAU INC.

Practice address

903 2ND St
Wausau, WI 54403-4705

Phone

(715) 842-3346

Fax

(715) 842-3344

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Marie Rinken, M.ED.,LPC,CADCIII,CC

Title

Executive Director

Phone

(715) 842-3346

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1730273616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034705",
            "telephone_number": "715-842-3346",
            "fax_number": "715-842-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 2ND ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034705",
            "telephone_number": "715-842-3346",
            "fax_number": "715-842-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING SERVICE OF WAUSAU INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "RINKEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-842-3346",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED.,LPC,CADCIII,CC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1321",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42110500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.