Active NPI
LT Resources
- Community/Behavioral Health Agency
- Black River Falls, WI
National Provider Identifier
1982918124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3117125
- 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
- Last updated
- Sep 20, 2011
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 15427131 | WI | |
| Community/Behavioral Health Agency | 251S00000X | 3117125 | WI | Primary |
Addresses
Primary practice location
409 County Road R
Black River Falls, WI 54615-5129
Mailing address
409 County Road R
PO Box 271
Black River Falls, WI 54615-5129
Phone (715) 284-9477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42254300 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Black River Falls, WI
- NPI 1932372612
NPI Registry JSON
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": "15427131",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "3117125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42254300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Black River Falls, WI
Sources for this page
- 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.