WISCONSIN LUTHERAN CHILD & FAMILY SERVICE NPI 1043661036

NPI Information

  • NPI: 1043661036
  • Provider Name: WISCONSIN LUTHERAN CHILD & FAMILY SERVICE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Doing Business As: CHRISTIAN FAMILY COUNSELING
  • Address: 5300 N MEADE ST
    APPLETON, WI
    ZIP 54913
  • Phone: (800) 438-1772

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NPI Details

WISCONSIN LUTHERAN CHILD & FAMILY SERVICE is a professional counselor in Appleton, WI. WISCONSIN LUTHERAN CHILD & FAMILY SERVICE NPI is 1043661036. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Christian Family Counseling.

The provider's business location address is:

5300 N MEADE ST
APPLETON, WI
ZIP 54913-383
Phone: (800) 438-1772
Fax: (262) 293-9737

The provider's authorized official is Mark Klug .
The authorized official title is Ceo and has the following contact phone number (888) 685-9522.

The enumeration date for this NPI number is 6/30/2016 and was last updated on 2/4/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YP2500XCounselorProfessionalYes

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
142171800MEDICAIDWISCONSIN

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

NPI Synchronization or Removal

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