JEFFERSON COUNTY NPI 1275614919

NPI Information

  • NPI: 1275614919
  • Provider Name: JEFFERSON COUNTY
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Other Name: JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH
  • Address: 1541 ANNEX RD
    JEFFERSON, WI
    ZIP 53549
  • Phone: (920) 674-3105

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NPI Details

JEFFERSON COUNTY is a mental health (including community mental health center) clinic center in Jefferson, WI. JEFFERSON COUNTY NPI is 1275614919. The provider is registered as an organization entity type.
The provider Other Name Is Jefferson County Human Service Dept-mental Health.

The provider's business location address is:

1541 ANNEX RD
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-3105
Fax: (920) 674-6113

The provider's authorized official is Brian Bellford .
The authorized official title is Deputy Director and has the following contact phone number (920) 674-8147.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 9/12/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1449WISCONSINYes

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
142138100MEDICAIDWISCONSIN

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: 11/21/2025

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