NPIMap

Organization Active NPI

Valley Counseling & Clinical Psychology

  • Professional Counselor
  • Hudson, WI
National Provider Identifier
1982947602
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4971-125 Issued in WI
Legal business name
VALLEY COUNSELING & CLINICAL PSYCHOLOGY
Practice address
1810 Crest View Dr
Suite 2D
Hudson, WI 54016-9494
Phone
(715) 781-8970
Fax
(715) 377-0010
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Lindsay Kjolsing Sather, LPC
Title
Licensed Professional Counslor
Phone
(715) 781-8970

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4971-125 WI Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 5021-125 WI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4899-125 WI

Addresses

Primary practice location

1810 Crest View Dr
Suite 2D
Hudson, WI 54016-9494

Mailing address

1810 Crest View Dr
Suite 2D
Hudson, WI 54016-9494
Phone (715) 781-8970

Other identifiers 3

IdentifierTypeStateIssuer
1205130101MedicaidWI
1851643332MedicaidWI
1154665735MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1982947602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CREST VIEW DR",
            "address_2": "SUITE 2D",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169494",
            "telephone_number": "715-781-8970",
            "fax_number": "715-377-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CREST VIEW DR",
            "address_2": "SUITE 2D",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169494",
            "telephone_number": "715-781-8970",
            "fax_number": "715-377-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COUNSELING & CLINICAL PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "SATHER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "KJOLSING",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSLOR",
        "authorized_official_telephone_number": "715-781-8970",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4971-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5021-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4899-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205130101",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851643332",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154665735",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.