Organization Active NPI

Peace Tree Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Osceola, WI
National Provider Identifier
1902069776
Registry record updated Aug 12, 2024
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
PEACE TREE COUNSELING LLC
Practice address
108 Chieftain Street
Suite B
Osceola, WI 54020-0816
Phone
(715) 417-3241
Fax
(715) 417-3243
NPI assigned
Jul 2, 2008
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Amanda Downing, LMFTNPI 1952683302
Title
Clinic Director
Phone
(715) 417-3241

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Health Counselor 101YM0800X 2792 WI

Addresses

Primary practice location

108 Chieftain Street
Suite B
Osceola, WI 54020-0816

Mailing address

PO Box 817
Osceola, WI 54020-0816
Phone (715) 755-2233

Other practice location 1

710 N Main St
River Falls, WI 54022-1574
Phone (715) 417-3241

National Provider Directory

National Provider Directory

Locations

108 Chieftain St
Osceola, WI 54020
Phone (715) 294-2202

108 Chieftain St
Ste B
Osceola, WI 54020
Phone (715) 417-3241

204 3rd Ave
#100
Osceola, WI 54020
Phone (715) 755-2233

204 3rd Ave
Ste 100
Osceola, WI 54020
Phone (715) 755-2233

710 N Main St
River Falls, WI 54022
Phone (612) 217-0798

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1902069776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200816",
            "telephone_number": "715-755-2233",
            "fax_number": "715-755-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHIEFTAIN STREET",
            "address_2": "SUITE B",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200816",
            "telephone_number": "715-417-3241",
            "fax_number": "715-417-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 N Main St",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "540221574",
            "country_code": "US",
            "telephone_number": "715-417-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACE TREE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "715-417-3241",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.