REDWOOD RECOVERY PROJECT INC. — NPI 1316895964 (Licensed & Credentialed Case Manager/Care Coordinator in LUCK, WI)

CMS-1500 Box 24J / 33a • NPI

1316895964

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

2487 170TH ST, LUCK, WI, 54853-3917

✓ 9-Digit EDI 837 ZIP+4 (54853-3917)

Practice Phone & Referral Fax

(715) 417-0330

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316895964 (REDWOOD RECOVERY PROJECT INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316895964` (NPI-2 Organization / Facility)
Provider / Legal Name	REDWOOD RECOVERY PROJECT INC.
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2487 170TH ST, LUCK, WI, 54853-3917
Practice Telephone / Fax	Tel: (715) 417-0330
Administrative Mailing Address	1806 93RD AVE, DRESSER, WI, 54009-4627
Enumeration & Last Sync	Enumerated: 2026-03-19 \| CMS Record Updated: 2026-03-19
Authorized Official	EMILY FRANCIS (Substance Abuse Counselor)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2487 170TH ST, LUCK, WI, 54853-3917

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (REDWOOD RECOVERY PROJECT INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YA0400X` — Counselor, Addiction (Substance Use Disorder) Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder)	State: N/A \| License: `Verified` \| Primary: Secondary
`175T00000X` — Peer Specialist Plain English: Licensed & Credentialed Peer Specialist	State: N/A \| License: `Verified` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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REDWOOD RECOVERY PROJECT INC. (NPI #1316895964)