NPIMap

Organization Active NPI

Western Region Recovery & Wellness Consortia

  • Community/Behavioral Health Agency
  • Chippewa Falls, WI
National Provider Identifier
1780062893
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3066 Issued in WI
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone
(715) 726-7787
Fax
(715) 726-7736
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Authorized official

Name
Larry Winter
Title
Director
Phone
(715) 726-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3066 WI Primary

Addresses

Primary practice location

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845

Mailing address

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone (715) 726-7787

Other identifiers 1

IdentifierTypeStateIssuer
3066OtherWISTATE CERTIFICATION

National Provider Directory

National Provider Directory
Tax ID family
County of Chippewa26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1780062893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 305",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7787",
            "fax_number": "715-726-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 305",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7787",
            "fax_number": "715-726-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGION RECOVERY & WELLNESS CONSORTIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-726-7788"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION",
            "identifier": "3066",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.