Active NPI
Paladin Counseling & Consultation, LLC
- Community/Behavioral Health Agency
- Monroe, WI
National Provider Identifier
1770937203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1556226
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659579761 | Other | WI | NPI NUMBER INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
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.