NPIMap

Organization Active NPI

Wisconsin Lutheran Child & Family Service, Inc.

  • Marriage & Family Therapist
  • Manitowoc, WI
National Provider Identifier
1225505829
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC.
Practice address
4045 Lancer Cir
Manitowoc, WI 54220-2336
Phone
(800) 438-1772
Fax
(262) 293-9737
NPI assigned
Nov 1, 2018
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Linda RangelNPI 1750805545
Title
Insurance Coordinator
Phone
(622) 345-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

4045 Lancer Cir
Manitowoc, WI 54220-2336

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-6511
Phone (800) 438-1772

Other identifiers 1

IdentifierTypeStateIssuer
42171800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Christian Family Counseling62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4045 Lancer Cir
Manitowoc, WI 54220
Phone (920) 682-0215

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1225505829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11120 STONEWOOD DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226511",
            "telephone_number": "800-438-1772",
            "fax_number": "262-345-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 LANCER CIR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202336",
            "telephone_number": "800-438-1772",
            "fax_number": "262-293-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "RANGEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "622-345-5533"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42171800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.