Cherry Blossom Healing, LLC

Primary specialty

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

Legal business name

CHERRY BLOSSOM HEALING, LLC

Practice address

145 W Wisconsin Ave
Neenah, WI 54956-3075

Phone

(920) 725-1230

Fax

(920) 215-6164

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Lisa T. Wood, LCSWNPI 1295414423

Title

Psychotherapist

Phone

(920) 213-8137

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lisa T. Wood, LCSW

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1295414423
  NPD Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1740968825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 MAYER ST",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521405",
            "telephone_number": "920-213-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563075",
            "telephone_number": "920-725-1230",
            "fax_number": "920-215-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-213-8137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise A Caruana, DPT
• Denise Cassidy, RN
• Amney JH Castaneda, PH.D., N.C.C.
• Allen Edward Chantelois, MD
• Joseph N Charais, D.O.
• Children'S Hospital of Wisconsin, Inc-Fox Valley
• Children'S Hospital of Wisconsin, Inc.
• Children'S Service Society of Wisconsin
• Chiropractic Health of Neenah, LLC
• Man Y Choi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Neenah, WI
• Providers in Neenah, 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 Jul 7, 2023; 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.