Psychiatric Associates Counseling Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1754 Issued in WI

Legal business name

PSYCHIATRIC ASSOCIATES COUNSELING CENTER LLC

Practice address

122 W South St
Viroqua, WI 54665-0206

Phone

(608) 637-2511

Fax

(608) 637-7921

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Julie C Noth

Title

Clinic Director

Phone

(608) 637-2511

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 4

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.

• Kathryn M Frydenlund, LCSW

  • Clinical Social Worker
  • Viroqua, WI
  • NPI 1659433688
  Medicare reassignment Care Compare group
• Dean B Saner, PSYD

  • Psychologist
  • Viroqua, WI
  • NPI 1952448946
  Medicare reassignment Care Compare group
• Roberta Bell, LCSW

  • Clinical Social Worker
  • Westby, WI
  • NPI 1861654451
  NPD (past)
• Megan Fiorella, LMFT

  • Marriage & Family Therapist
  • Viroqua, WI
  • NPI 1508300302
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821141540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "address_2": "122 W SOUTH ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650206",
            "telephone_number": "608-637-2511",
            "fax_number": "608-637-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SOUTH ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650206",
            "telephone_number": "608-637-2511",
            "fax_number": "608-637-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOTH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "608-637-2511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42167000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Poe, RD, LD
• Alexa Pomerleau
• John C Porter, DO
• Deborah L Prior, M.D.
• Kyle J Prorok, LPC
• Tauqeer Qazi, MD
• Quality of Life Chiropractic
• Jon D Radcliffe, DO
• Ann Elizabeth Ralles, DDS
• Jacqueline S Redmer, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.