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UNIVERSITY OF WISCONSIN - LA CROSSE
NPI 1386368041
Clinic/Center - Mental Health (Including Community Mental Health Center) in La Crosse, WI

Active since September 27, 2022
1725 STATE ST, 2106 CENTENNIAL HALL, LA CROSSE, WI 54601(608) 785-8073 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About UNIVERSITY OF WISCONSIN - LA CROSSE

This page provides the complete NPI Profile along with additional information for University Of Wisconsin - La Crosse, a provider established in La Crosse, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1386368041 assigned on September 2022. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Crystal Dawn Champion Phd, Lp (Director)

NPI
1386368041 Verify this NPI
Provider Name
UNIVERSITY OF WISCONSIN - LA CROSSE
Entity Type
Organization
Location Address
1725 STATE ST 2106 CENTENNIAL HALL LA CROSSE, WI 54601
Location Phone
(608) 785-8073
Mailing Address
1725 STATE ST LA CROSSE, WI 54601
Mailing Phone
(608) 785-8073
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-27-2022
Last Update Date
09-27-2022
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CRYSTAL DAWN CHAMPION PHD, LP

Authorized Official Title
DIRECTOR
Authorized Official Phone
(608) 785-8073

Reviews for UNIVERSITY OF WISCONSIN - LA CROSSE

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MARK D. JAKUBEK
Specialist
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (920) 642-0201
MR. MARK H GIBSON LAT, PT
Physical Therapist
1725 STATE ST, UNIV. OF WISCONSIN - LA CROSSE
LA CROSSE, WI 54601
La Crosse County (608) 785-8190
DANIELLE DESERANO ATC
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (319) 610-2072
LEAH RENE CARPENTER RN
Registered Nurse
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
MS. CRYSTAL DAWN CHAMPION PH.D.
Psychologist
1725 STATE ST, COUNSELING AND TESTING CENTER
LA CROSSE, WI 54601
La Crosse County (608) 785-8073
HARLEY WENTE
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
ALLISON FREIER
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8173
BENJAMIN HENDRICKSON
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (507) 654-5008
ERIN BUTKE
Specialist/Technologist (Athletic Trainer)
1725 STATE ST, 10 MITCHELL HALL
LA CROSSE, WI 54601
La Crosse County (608) 785-8190
AMANDA SKRZECZKOSKI
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8190
CLAIRE HARNELL ATC
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (952) 412-4876
RAEGAN RENE TERVORT
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
JESSICA FORTIER
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
DREN GASHI
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8816
TAYLOR JEAN DEGROOT
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
KATHRYN PURGILL
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (262) 527-1195
MR. DANIEL TCHERNEV
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8616
HALEY JACOB
Prevention Professional
1725 STATE ST, 126 MITCHELL HALL
LA CROSSE, WI 54601
La Crosse County (216) 978-1173
RACHEL WESLO
Student in an Organized Health Care Education/Training Program
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000
KELSEY RENEE SZYMANSKI LAT, ATC
Specialist/Technologist (Athletic Trainer)
1725 STATE ST
LA CROSSE, WI 54601
La Crosse County (608) 785-8000

Frequently Asked Questions

What is UNIVERSITY OF WISCONSIN - LA CROSSE's NPI number?

The NPI number assigned to this healthcare provider is 1386368041, enumerated as an "organization" on September 27, 2022.

Where is the provider located?

The provider is located at 1725 STATE ST 2106 CENTENNIAL HALL LA CROSSE, WI 54601 and the phone number is (608) 785-8073.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).