Darla Otto, CSW, MSM, CTACC

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

Practice address

13333 Cedar Lake Rd
Kiel, WI 53042-4053

Phone

(920) 894-1114

NPI assigned

Jan 31, 2020

Last updated

Feb 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1316578909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 CEDAR LAKE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530424053",
            "telephone_number": "920-889-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 CEDAR LAKE RD",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530424053",
            "telephone_number": "920-894-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "DARLA",
        "name_prefix": "Ms.",
        "credential": "CSW, MSM, CTACC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "darlaotto@professionalfamily.services",
            "affiliation": "N",
            "address_1": "13333 Cedar Lake Rd",
            "city": "Kiel",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530424053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tony Matznick
• MH Health Care Services, PC
• Jody Muten, RN, BSN
• New Holstein Family Dental (Kiel and New Holstein Family Dental)
• Tyler R Olig
• Pathways to a Better Life, LLC (Pathways To A Better Life - Kiel Campus 1)
• David James Pieper, D.D.S.
• Pamela Quezaire, MSE CSAC ICS
• Mary Reszczynski, APNP
• Tera Marie Mae Rodriguez, IPHM

• Child Mental Illness Respite Care in Kiel, WI
• Providers in Kiel, WI by specialty
• Child Mental Illness Respite Care in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.