Ryan Micheal Schaller, MS, LSC, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8134-226 Issued in WI

Practice address

605 4TH St S
La Crosse, WI 54601-4458

Phone

(608) 615-1023

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brave Spaces Counseling and Wellness, LLC

  • Community/Behavioral Health Agency
  • La Crosse, WI
  • NPI 1811580574
  NPD

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1770309189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 3RD AVE S",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 4TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014458",
            "telephone_number": "608-615-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "RYAN",
        "middle_name": "MICHEAL",
        "credential": "MS, LSC, LPC-IT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8134-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Jean Schafer, MS
• Heidi Lu Schaffer, RN
• Nyhus Schaffer, D.C.
• Jedadiah Joseph Schaller, DO
• Kevin John Schaller, APNP
• Christine Marie Schalow, RN
• Travis Eugene Schamber, D.O.
• Peter J Schams, MD
• Susan Schams, PTA
• Courtney Taylor Schanau

• Mental Health Counselor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.