Mental Health on Prairie

Primary specialty

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

Legal business name

MENTAL HEALTH ON PRAIRIE

Practice address

2797 Prairie Ave Ste 22
Beloit, WI 53511-2288

Phone

(608) 481-2330

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Faith MattisonNPI 1487686648

Title

Owner, LCSW

Phone

(608) 481-2330

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

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

• Faith E Mattison, LCSW, MSSW

  • Clinical Social Worker
  • Beloit, WI
  • NPI 1487686648
  Medicare reassignment NPD Authorized official
• Teresa Bingham, LCSW

  • Clinical Social Worker
  • Beloit, WI
  • NPI 1164106647

  Single Specialty

  Medicare reassignment NPD
• Laura E Pisciotti

  • Social Worker
  • Janesville, WI
  • NPI 1215643986
  NPD

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1942063482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 PRAIRIE AVE STE 22",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 PRAIRIE AVE STE 22",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112288",
            "telephone_number": "608-481-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ON PRAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MATTISON",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "608-481-2330"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McNil Corporation
• Meditations of Our Hearts, LLC
• Liana Meffert, MD
• Sabrina Meichtry, APSW
• Kathryn Elizabeth Melloch, CD
• Mercy Health System Corporation
• Tessa Lucille Mersberger, APNP
• Gregory Thomas Messina, D.D.S.
• Cindy Ann Metzger, RN
• Payton Alexandra Meye, APSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Beloit, WI
• Providers in Beloit, 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 Feb 6, 2024; 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.