FAMILY SERVICE AGENCY OF WAUKESHA COUNTY INC NPI 1568404671

NPI Information

NPI: 1568404671
Provider Name: FAMILY SERVICE AGENCY OF WAUKESHA COUNTY INC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 2727 N GRANDVIEW BLVD
STE 205, STE 200
WAUKESHA, WI
ZIP 53188
Phone: (262) 547-5567

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NPI Details

FAMILY SERVICE AGENCY OF WAUKESHA COUNTY INC is a mental health (including community mental health center) clinic center in Waukesha, WI. FAMILY SERVICE AGENCY OF WAUKESHA COUNTY INC NPI is 1568404671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2727 N GRANDVIEW BLVD
STE 205, STE 200
WAUKESHA, WI
ZIP 53188
Phone: (262) 547-5567
Fax: (262) 547-1608

The provider's authorized official is Jessica Bumber .
The authorized official title is Director Of Operations and has the following contact phone number (262) 547-5567.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 5/28/2025.

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	101YM0800X	Counselor	Mental Health			No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	42158300	MEDICAID	WISCONSIN

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

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