LT Resources

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3117125 Issued in WI

Legal business name

LT RESOURCES

Practice address

409 County Road R
Black River Falls, WI 54615-5129

Phone

(715) 284-9477

Fax

(715) 284-5547

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Lynn Liane Hoornstra, MS, LPC

Title

Psychotherapist

Phone

(715) 284-9477

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1982918124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COUNTY ROAD R",
            "address_2": "PO BOX 271",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-9477",
            "fax_number": "715-284-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-9477",
            "fax_number": "715-284-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LT RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "HOORNSTRA",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "LIANE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "715-284-9477",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3117125",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "15427131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42254300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Ellen Leeth, RN
• Carmen A Liebelt, PT
• Pamela Listle, MSCCSLP
• Amy Kay Littlegeorge
• Hera Jane Lonetree-Rindahl, SAC
• Rachel Marie Lundberg, O.D.
• Michael A Mahan, M.D.
• Making Meaning LLC
• Jesse L Mann, APSW, SAC-IT
• Carol A Martin, MD

• All providers in Black River Falls, WI
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.