NPIMap

Organization Active NPI

County of Grant Dba Unified Community Services

Doing business as Unified Community Services

  • Community/Behavioral Health Agency
  • Dodgeville, WI
National Provider Identifier
1053468066
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF GRANT DBA UNIFIED COMMUNITY SERVICES
Doing business as
Unified Community Services
Practice address
1122 Professional Dr
Dodgeville, WI 53533-1176
Phone
(608) 935-2776
NPI assigned
Jan 4, 2007
Last updated
May 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamie Lenz-Stoney
Title
Revenue Cycle Manager
Phone
(608) 723-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1122 Professional Dr
Dodgeville, WI 53533-1176

Mailing address

200 W Alona LN
Lancaster, WI 53813-2202

Other identifiers 1

IdentifierTypeStateIssuer
43082600MedicaidWI

Other names 1

  • Unified Community Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000011 WI Part B Supplier - Clinic/Group Practice 0244212959 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dodgeville, WI; Lancaster, WI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2145542Unified Community Services - Dodgeville1122 Professional Dr, Dodgeville, WI 53533Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Unified Community SRVS14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1053468066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ALONA LN",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538132202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 PROFESSIONAL DR",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331176",
            "telephone_number": "608-935-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT DBA UNIFIED COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "LENZ-STONEY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "608-723-6357"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43082600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unified Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.