NPIMap

Organization Active NPI

Children'S Service Society of Wisconsin

  • Mental Health Counselor
  • Marshfield, WI
National Provider Identifier
1124292420
Registry record updated Dec 5, 2013
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
601 S Central Ave
Suite 200
Marshfield, WI 54449-4104
Phone
(715) 387-2729
Fax
(715) 387-4526
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Ms. Tracy Oerter
Title
Interim Director of Counseling
Phone
(414) 266-2912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

601 S Central Ave
Suite 200
Marshfield, WI 54449-4104

Mailing address

601 S Central Ave
Suite 200
Marshfield, WI 54449-4104
Phone (715) 387-2729

Other identifiers 1

IdentifierTypeStateIssuer
42202600MedicaidWI

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

601 S Central Ave
Ste 200
Marshfield, WI 54449
Phone (715) 387-2729

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": "1386201600000",
    "number": "1124292420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494104",
            "telephone_number": "715-387-2729",
            "fax_number": "715-387-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494104",
            "telephone_number": "715-387-2729",
            "fax_number": "715-387-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY OF WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "OERTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "INTERIM DIRECTOR OF COUNSELING",
        "authorized_official_telephone_number": "414-266-2912",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42202600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.