Organization Active NPI

Rebuild Mental Health Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eau Claire, WI
National Provider Identifier
1861387250
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
REBUILD MENTAL HEALTH COUNSELING LLC
Practice address
930 Galloway St Ste 101
Eau Claire, WI 54703-3913
Phone
(715) 580-0908
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Lorin Dennis Kinsel, LPCNPI 1831088285
Title
Licensed Professional Counselor
Phone
(715) 580-0908

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

930 Galloway St Ste 101
Eau Claire, WI 54703-3913

Mailing address

1606 Frederic St
Eau Claire, WI 54701-4014
Phone (715) 580-0908

Other names 1

  • Rebuild Mental Health Counseling LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915003600 WI Part B Supplier - Clinic/Group Practice 5799288684 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

National Provider Directory

National Provider Directory

Locations

930 Galloway St
Ste 101
Eau Claire, WI 54703
Phone (715) 580-0908

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1861387250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 FREDERIC ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014014",
            "telephone_number": "715-580-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GALLOWAY ST STE 101",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033913",
            "telephone_number": "715-580-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "KINSEL",
        "authorized_official_first_name": "LORIN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "715-580-0908",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebuild Mental Health Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.