Individual provider Active NPI

Todd Hoffe

  • Addiction (Substance Use Disorder) Counselor
  • La Crosse, WI
National Provider Identifier
1992915292
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11306-132 Issued in WI
Practice address
319 Main St
Ste. 302
La Crosse, WI 54601-0705
Phone
(608) 796-1168
Fax
(608) 796-1944
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11306-132 WI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 300429 MN

Addresses

Primary practice location

319 Main St
Ste. 302
La Crosse, WI 54601-0705

Mailing address

27962 Hoffe LN
Dakota, MN 55925-4179

Other identifiers 1

IdentifierTypeStateIssuer
39336500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
300429MNMDAddiction (Substance Use Disorder) Counselor
11306-132WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992915292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27962 HOFFE LN",
            "city": "DAKOTA",
            "state": "MN",
            "postal_code": "559254179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST",
            "address_2": "STE. 302",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546010705",
            "telephone_number": "608-796-1168",
            "fax_number": "608-796-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFE",
        "first_name": "TODD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11306-132",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "300429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39336500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.