NPIMap

Organization Active NPI

Children's Service Society of Wisconsin

  • Mental Health Counselor
  • Waukesha, WI
National Provider Identifier
1073787370
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Practice address
223 Wisconsin Ave
Suite D
Waukesha, WI 53186-4968
Phone
(262) 544-5333
Fax
(262) 544-5393
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Dr. Ron Pupp, PHD
Title
Director of Counseling
Phone
(414) 231-4808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

223 Wisconsin Ave
Suite D
Waukesha, WI 53186-4968

Mailing address

223 Wisconsin Ave
Suite D
Waukesha, WI 53186-4968
Phone (262) 544-5333

Other identifiers 1

IdentifierTypeStateIssuer
42224100MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Childrens Service Society15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

223 Wisconsin Ave
Ste D
Waukesha, WI 53186
Phone (262) 544-5333

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1073787370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WISCONSIN AVE",
            "address_2": "SUITE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864968",
            "telephone_number": "262-544-5333",
            "fax_number": "262-544-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WISCONSIN AVE",
            "address_2": "SUITE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864968",
            "telephone_number": "262-544-5333",
            "fax_number": "262-544-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "PUPP",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "414-231-4808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42224100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.