Bethany Christian Services

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

BETHANY CHRISTIAN SERVICES

Practice address

1331 Capitol Dr
Oconomowoc, WI 53066-5705

Phone

(262) 547-6557

Fax

(262) 547-3644

NPI assigned

Jun 26, 2013

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

BETHANY CHRISTIAN SERVICESAs reported in NPPES

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

Authorized official

Name

Lisa Stoutmeyer

Title

Biller

Phone

(616) 224-7429

Specialties & licenses 2

Addresses

Part of

Bethany Christian Services of South Central Iowa

Locations

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.

• Susan Hubbell, MSW, APSW

  • Social Worker
  • Waukesha, WI
  • NPI 1730529504
  NPD (past)
• Jennifer L Schmeichel, MSW

  • Social Worker
  • Waukesha, WI
  • NPI 1609216472
  NPD (past)

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1295175065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CAPITOL DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665705",
            "telephone_number": "262-547-6557",
            "fax_number": "262-547-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 CAPITOL DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665705",
            "telephone_number": "262-547-6557",
            "fax_number": "262-547-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N14W23755 Stone Ridge Dr",
            "address_2": "#265",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531881147",
            "country_code": "US",
            "telephone_number": "262-547-6557",
            "fax_number": "262-547-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BETHANY CHRISTIAN SERVICES",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "STOUTMEYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "616-224-7429"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "205-121",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Bellas
• Michelle A. Bensen, MD
• Bergmann Chiropractic LLC
• David Thomas Bergmann, D.C.
• George Karl Bernhardt, LAT, ATC
• Kimberley Bevan
• Parivash Bhathena, RDH
• Melissa S Bichanich, L.AC
• Paityn C Biro, LMFT
• John T Bitner, D.D.S.

• Substance Abuse Rehabilitation Facility in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Substance Abuse Rehabilitation Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.