Teipner Treatment Homes, Inc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

285040 Issued in WI

Legal business name

TEIPNER TREATMENT HOMES, INC

Practice address

104 W Linden Dr Ste a
Jefferson, WI 53549-2801

Phone

(920) 674-6688

Fax

(920) 674-6752

NPI assigned

Mar 30, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Patricia J Clark, MSW

Title

Director

Phone

(920) 674-6688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Suzanne A Monda, MSW

  • Clinical Social Worker
  • Jefferson, WI
  • NPI 1033382593
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1154563641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W LINDEN DR STE A",
            "address_2": "PO BOX 327",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492801",
            "telephone_number": "920-674-6688",
            "fax_number": "920-674-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W LINDEN DR STE A",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492801",
            "telephone_number": "920-674-6688",
            "fax_number": "920-674-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEIPNER TREATMENT HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-674-6688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "WI",
            "license": "285040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI FACILITY NUMBER",
            "identifier": "285040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Stingl, LCPC, CRC
• Andrea Marian Stotesbery
• Kenneth William Strege, PEER SUPPORT
• Sarah Falk Sullivan, MA
• Jamie Jo Tegt, LCSW
• Shelly Marie Theder
• Jean Thiede
• Kari Thoma, COTA
• Molly Thoma
• Gabrielle A Thomas, PT, DPT

• Foster Care Agency in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Foster Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.