Coulee Region Counseling & Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

713124 Issued in WI

Legal business name

COULEE REGION COUNSELING & CONSULTING

Practice address

W5073 County Road B
La Crosse, WI 54601-2983

Phone

(608) 780-6685

NPI assigned

Sep 15, 2008

Last updated

Sep 15, 2008By 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

Mr. Jerry A Nelson, MS, LMFT

Title

Therapist, / Owner

Phone

(608) 780-6685

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1730338716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5073 COUNTY ROAD B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012983",
            "telephone_number": "608-780-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5073 COUNTY ROAD B",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546012983",
            "telephone_number": "608-780-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULEE REGION COUNSELING & CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST, / OWNER",
        "authorized_official_telephone_number": "608-780-6685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "713124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41000100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coulee Children's Center, Inc
• Coulee Chiropractic Clinic, S.C.
• Coulee Connections, LLC
• Coulee Council on Addictions
• Coulee Family Dental LLC
• Coulee Region Psychiatric Services, S.C.
• Coulee Youth Centers, Inc.
• Counseling Associates (Counseling Associates, LLC)
• April Countryman
• Grace Ann Countryman, OT

• Community/Behavioral Health Agency in La Crosse, WI
• Providers in La Crosse, 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 Sep 15, 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.