Organization Active NPI

Paladin Counseling & Consultation, LLC

  • Community/Behavioral Health Agency
  • Monroe, WI
National Provider Identifier
1770937203
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1556226 Issued in WI
Legal business name
PALADIN COUNSELING & CONSULTATION, LLC
Practice address
819 1St Ave
Monroe, WI 53566-3806
Phone
(608) 325-5520
Fax
(608) 325-5846
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Laura R Placek, LPC SAC CSACIT
Title
Owner
Phone
(608) 325-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1556226 WI Primary

Addresses

Primary practice location

819 1St Ave
Monroe, WI 53566-3806

Mailing address

PO Box 708
819 1St Ave
Monroe, WI 53566
Phone (608) 325-5520

Other identifiers 1

IdentifierTypeStateIssuer
1659579761OtherWINPI NUMBER INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

819 1st Ave
Monroe, WI 53566
Phone (608) 325-5520

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1770937203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "address_2": "819 1ST AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "53566",
            "telephone_number": "608-325-5520",
            "fax_number": "608-325-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 1ST AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535663806",
            "telephone_number": "608-325-5520",
            "fax_number": "608-325-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN COUNSELING & CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "PLACEK",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-325-5520",
        "authorized_official_credential": "LPC SAC CSACIT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1556226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER INDIVIDUAL",
            "identifier": "1659579761",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.