Organization Active NPI

Family Services of Southern Wisconsin and Northern Illinois

  • Mental Health Counselor
  • Beloit, WI
National Provider Identifier
1093869505
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY SERVICES OF SOUTHERN WISCONSIN AND NORTHERN ILLINOIS
Practice address
825 Liberty Ave
Beloit, WI 53511-6310
Phone
(608) 365-1244
Fax
(608) 365-4097
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Ms. Joan Curtis, LPC
Title
Director of Supportive Services
Phone
(608) 365-1244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

825 Liberty Ave
Beloit, WI 53511-6310

Mailing address

825 Liberty Ave
Beloit, WI 53511-6310
Phone (608) 365-1244

Other identifiers 1

IdentifierTypeStateIssuer
42117900MedicaidWI

National Provider Directory

National Provider Directory

Locations

825 Liberty Ave
Beloit, WI 53511
Phone (608) 365-1244

423 Bluff St
Beloit, WI 53511
Phone (608) 365-1244

825 Liberty Ave
Ste 2
Beloit, WI 53511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1093869505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LIBERTY AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116310",
            "telephone_number": "608-365-1244",
            "fax_number": "608-365-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LIBERTY AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116310",
            "telephone_number": "608-365-1244",
            "fax_number": "608-365-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF SOUTHERN WISCONSIN AND NORTHERN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR OF SUPPORTIVE SERVICES",
        "authorized_official_telephone_number": "608-365-1244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42117900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.