Organization Active NPI

Liv Free Counseling

  • Social Worker
  • Chilton, WI
National Provider Identifier
1760240766
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
LIV FREE COUNSELING
Practice address
539 N Madison St # C
Chilton, WI 53014-1254
Phone
(920) 342-0103
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Dawn LogemannNPI 1962267765
Title
Owner
Phone
(920) 342-0103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

539 N Madison St # C
Chilton, WI 53014-1254

Mailing address

539 N Madison St # C
Chilton, WI 53014-1254
Phone (920) 342-0103

National Provider Directory

National Provider Directory

Locations

539 N Madison St
#C
Chilton, WI 53014
Phone (920) 342-0103

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1760240766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 N MADISON ST # C",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141254",
            "telephone_number": "920-342-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 N MADISON ST # C",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530141254",
            "telephone_number": "920-342-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIV FREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "LOGEMANN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-342-0103"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.