Organization Active NPI

Bay Area Mental Health Center Inc

  • Mental Health Counselor
  • Washburn, WI
National Provider Identifier
1285734210
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BAY AREA MENTAL HEALTH CENTER INC
Practice address
101 Thompson Rd
Washburn, WI 54891-4525
Phone
(715) 373-2233
Fax
(715) 373-5530
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Barbara J Snyder, MSED LPC
Title
Clinic Administrator
Phone
(715) 373-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 Thompson Rd
Washburn, WI 54891-4525

Mailing address

101 Thompson Rd
Washburn, WI 54891-4525
Phone (715) 373-2233

Other identifiers 2

IdentifierTypeStateIssuer
1080OtherWIST CERT #
42164100MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1285734210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THOMPSON RD",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548914525",
            "telephone_number": "715-373-2233",
            "fax_number": "715-373-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THOMPSON RD",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548914525",
            "telephone_number": "715-373-2233",
            "fax_number": "715-373-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MENTAL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "715-373-2233",
        "authorized_official_credential": "MSED LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST CERT #",
            "identifier": "1080",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42164100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.