CHILDREN'S SERVICE SOCIETY OF WISCONSIN NPI 1962676734

NPI Information

NPI: 1962676734
Provider Name: CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 52D0982094

Address:
325 N COMMERCIAL ST
SUITE 400
NEENAH, WI
ZIP 54956
Phone: (920) 969-5320
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CHILDREN'S SERVICE SOCIETY OF WISCONSIN is a mental health counselor in Neenah, WI. CHILDREN'S SERVICE SOCIETY OF WISCONSIN NPI is 1962676734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

325 N COMMERCIAL ST
SUITE 400
NEENAH, WI
ZIP 54956-665
Phone: (920) 969-5320
Fax: (920) 969-7975

The provider's authorized official is Ron Pupp .
The authorized official title is Director Of Counseling and has the following contact phone number (414) 231-4808.

The CLIA number assigned to this NPI record is 52D0982094 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.

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	106H00000X	Marriage & Family Therapist				No
2	101YM0800X	Counselor	Mental Health			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	42137700	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: 5/5/2024

NPI Synchronization or Removal

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