CREDENCE THERAPY ASSOCIATES INC NPI 1487648663

NPI Information

NPI: 1487648663
Provider Name: CREDENCE THERAPY ASSOCIATES INC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Doing Business As: CREDENCE THERAPY ASSOCIATES
Address: 1 1/2 W GENEVA ST
ELKHORN, WI
ZIP 53121
Phone: (262) 723-3424

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NPI Details

CREDENCE THERAPY ASSOCIATES INC is a mental health (including community mental health center) clinic center in Elkhorn, WI. CREDENCE THERAPY ASSOCIATES INC NPI is 1487648663. The provider is registered as an organization entity type.
The provider Is Doing Business As Credence Therapy Associates.

The provider's business location address is:

1 1/2 W GENEVA ST
ELKHORN, WI
ZIP 53121-722
Phone: (262) 723-3424
Fax: (262) 723-8308

The provider's authorized official is Kim Ann Steen .
The authorized official title is Director and has the following contact phone number (262) 723-3424.

The enumeration date for this NPI number is 9/2/2005 and was last updated on 12/29/2014.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1262	WISCONSIN	Yes

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
1	42168400	MEDICAID	WISCONSIN
2	42168400	OTHER		CENPATICO
3	42169400	OTHER	WISCONSIN	HIRSP
4	538578	OTHER	WISCONSIN	DEAN CARE
5	88416	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN
6	17257700	OTHER		MAGELLAN BEH HEALTH

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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