MARRIAGE & FAMILY HEALTH SERVICES LTD NPI 1467649921

NPI Information

NPI: 1467649921
Provider Name: MARRIAGE & FAMILY HEALTH SERVICES, LTD
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
2925 MONDOVI RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 832-0238
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MARRIAGE & FAMILY HEALTH SERVICES, LTD is a professional counselor in Eau Claire, WI. MARRIAGE & FAMILY HEALTH SERVICES, LTD NPI is 1467649921. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2925 MONDOVI RD
EAU CLAIRE, WI
ZIP 54701-141
Phone: (715) 832-0238
Fax: (715) 832-0771

The provider's authorized official is Thomas E. Johnston .
The authorized official title is Director and has the following contact phone number (715) 832-0238.

The enumeration date for this NPI number is 9/28/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor			No
2	103T00000X	Psychologist			No
3	103TC0700X	Psychologist	Clinical		No
4	1041C0700X	Social Worker	Clinical	WISCONSIN	No
5	106H00000X	Marriage & Family Therapist		WISCONSIN	No
6	101YP2500X	Counselor	Professional	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========019	OTHER	WISCONSIN	ANTHEM BLUE CROSS BLUE SH
2	43006400	MEDICAID	WISCONSIN
3	84708	MEDICARE PIN	WISCONSIN
4	43008700	MEDICAID	WISCONSIN
5	43001900	MEDICAID	WISCONSIN
6	42121000	MEDICAID	WISCONSIN
7	48412	OTHER	WISCONSIN	SECURITY HEALTH PLAN
8	80785	OTHER	WISCONSIN	SECURITY HEALTH PLAN
9	31584	OTHER	WISCONSIN	SECURITY HEALTH PLAN
10	43006300	MEDICAID	WISCONSIN
11	43007100	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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