Choices Family Education Services of Wi LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHOICES FAMILY EDUCATION SERVICES OF WI LLC

Practice address

328 Mill St
Howards Grove, WI 53083-1219

Phone

(920) 698-0821

NPI assigned

Dec 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brian Darnell Fears, MA

Title

Director

Phone

(920) 698-0821

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1114163847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530820915",
            "telephone_number": "920-698-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 MILL ST",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831219",
            "telephone_number": "920-698-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FAMILY EDUCATION SERVICES OF WI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "FEARS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-698-0821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42213600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Sheri Becker, LPN
• Catherine M Best, MD
• Zachary Brocker, D.C.
• Nicholas Andrew Broder, DC
• Erik Thomas Butzen, D.C
• David W. Kisiolek, O.D., S.C.
• Noemi Gisell Garcia, D.D.S.
• Howards Grove Family Dental, LLC
• Natalie Jensema
• Aric Jump

• Community/Behavioral Health Agency in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.