ASPEN FAMILY COUNSELING NPI 1689632309

NPI Information

NPI: 1689632309
Provider Name: ASPEN FAMILY COUNSELING
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
Address: 2639 NEW PINERY RD
SUITE 1
PORTAGE, WI
ZIP 53901
Phone: (608) 742-5020

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NPI Details

ASPEN FAMILY COUNSELING is a mental health counselor in Portage, WI. ASPEN FAMILY COUNSELING NPI is 1689632309. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2639 NEW PINERY RD
SUITE 1
PORTAGE, WI
ZIP 53901-110
Phone: (608) 742-5020
Fax: (608) 742-3641

The provider's authorized official is Barry D Erath .
The authorized official title is Clinic Director and has the following contact phone number (608) 742-5020.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/21/2022.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	1066	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	81145030	OTHER	WISCONSIN	THE ALLIANCE PROVIDER #
2	42202000	MEDICAID	WISCONSIN
3	570028	OTHER	WISCONSIN	DEAN HEALTHCARE PROVIDER

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: 3/30/2025

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