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WASHINGTON COUNTY WISCONSIN NPI 1609801778


NPI Information

NPI: 1609801778
Provider Name: WASHINGTON COUNTY WISCONSIN

Doing Business As: WASHINGTON COUNTY HUMAN SERVICES MENTAL HEALTH CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
333 E. WASHINGTON STREET
SUITE 2100
WEST BEND, WI
ZIP 53095
Phone: (262) 335-4583
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WASHINGTON COUNTY WISCONSIN is a community behavioral health in West Bend, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. WASHINGTON COUNTY WISCONSIN NPI is 1609801778. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Washington County Human Services Mental Health Center.

The provider's business location address is:

333 E. WASHINGTON STREET
SUITE 2100
WEST BEND, WI
ZIP 53095-585
Phone: (262) 335-4583
Fax: (262) 335-6827

The provider's authorized official is Eric Diamond .
The authorized official title is Administrator and has the following contact phone number (262) 335-4591.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 8/11/2015.


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
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TC0700XPsychologistClinicalNo
5251S00000XCommunity/Behavioral Health1968WISCONSINYes

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
143107500MEDICAIDWISCONSIN
243422500MEDICAIDWISCONSIN
341760200MEDICAIDWISCONSIN
442140400MEDICAIDWISCONSIN
543071300MEDICAIDWISCONSIN
60000084285MEDICARE UPINWISCONSIN
732976700MEDICAIDWISCONSIN
884285MEDICARE ID-TYPE UNSPECIFIEDWISCONSINMEDICARE NUMBER

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.