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ARBOR PLACE, INC.
NPI 1013458173
Counselor - Mental Health in Menomonie, WI

Active since March 09, 2017CLIA 52D2234500 · Waiver
4076 KOTHLOW AVE, MENOMONIE, WI 54751(715) 235-4537(715) 235-4535 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arbor Place, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARBOR PLACE, INC. (NPI 1013458173) is a healthcare organization registered as a mental health in Menomonie, Wisconsin and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through August 30, 2027 and lists Jill Gamez, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1013458173
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameARBOR PLACE, INC.
Location Address4076 KOTHLOW AVEMenomonie, WI 54751-3090
Mailing Address4076 Kothlow AveMenomonie, WI 54751-3090 · (715) 235-4537 · Fax (715) 235-4535
Phone(715) 235-4537
Fax(715) 235-4535
Organization SubpartNo
Authorized OfficialJill GamezExecutive Director · (715) 235-4537
Enumeration DateMarch 9, 2017
✔ NPI 1013458173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 1050
4076 KOTHLOW AVE, Menomonie, WI 54751
Open in Google Maps ↗

Other Identifiers 1

Medicaid42148200WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2234500

Arbor Place Inc · Menomonie, WI
Active · expires Aug 30, 2027
CLIA Number52D2234500
Laboratory TypeResidential D&a Rehab
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorJill M. Gamez
Laboratory Phone(715) 235-4537
Laboratory LocationArbor Place Inc4076 Kothlow Ave, Menomonie, WI 54751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARBOR PLACE, INC.
Substance Abuse Rehabilitation Facility
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
MS. JILL ANNE HASENBERG-GINDT D.O.
Family Medicine
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
STEPHANIE HURLBURT
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
KALLIE RENEE GIRDEEN APSW, MSW, IDP-AT
Social Worker
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 928-2345
CRYSTAL RACHICK
Counselor (Mental Health)
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
ARBOR PLACE, INC.
Clinic/Center
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
ARBOR PLACE, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537
LORRAINE GARLAND SAC-IT
Counselor (Addiction (Substance Use Disorder))
4076 KOTHLOW AVE
MENOMONIE, WI 54751
Dunn County (715) 235-4537

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arbor Place, Inc.'s NPI number?

The NPI number for Arbor Place, Inc. is 1013458173. It was assigned to this organization in the NPPES registry on March 9, 2017.

Where is Arbor Place, Inc. located?

Arbor Place, Inc. is located at 4076 Kothlow Ave, Menomonie, WI 54751. The listed phone number is (715) 235-4537.

What is Arbor Place, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Arbor Place, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2234500) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Arbor Place, Inc. was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.