NPIMap

Organization Active NPI

Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

Doing business as LSS Janesville Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
National Provider Identifier
1386719177
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Doing business as
LSS Janesville Clinic
Practice address
612 N Randall Ave
Suite a
Janesville, WI 53545-1958
Phone
(608) 752-7660
NPI assigned
Nov 21, 2006
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Tara Treglowne
Title
Coo
Phone
(414) 246-2300

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Counselor 101Y00000X
School Counselor 101YS0200X
Psychologist 103T00000X
Social Worker 104100000X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

612 N Randall Ave
Suite a
Janesville, WI 53545-1958

Mailing address

1904 Winnebago St FL 2
Madison, WI 53704-5315
Phone (608) 234-2074

Other names 1

  • LSS Janesville Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000700 WI Part B Supplier - Clinic/Group Practice 2668383084 Receives reassigned benefits from 5 practitioners
12 other NPIs on this enrollment
Practice locations: Appleton, WI; Beloit, WI; Chippewa Falls, WI; Eau Claire, WI; Janesville, WI

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Luteran Social SVC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations (25 of 33)

612 Clermont St
Antigo, WI 54409
Phone (715) 627-0371

1200 N Center St
Ste A
Beaver Dam, WI 53916

125 Dodge Dr
#F
Beaver Dam, WI 53916
Phone (920) 887-3171

809 Park Ave
Beaver Dam, WI 53916
Phone (920) 887-3171

1850 Cranston Rd
Beloit, WI 53511
Phone (833) 420-1103

737 Bluff St
Beloit, WI 53511
Phone (608) 752-7660

411 N Bridge St
Chippewa Falls, WI 54729
Phone (833) 420-1103

306 S Barstow St
Eau Claire, WI 54701
Phone (715) 450-6804

1631 Janesville Ave
Fort Atkinson, WI 53538
Phone (608) 752-7660

612 N Randall Ave
Janesville, WI 53545
Phone (608) 322-9799

612 N Randall Ave
Ste A
Janesville, WI 53545
Phone (608) 234-2074

5 Odana Ct
Madison, WI 53719
Phone (608) 277-0610

6314 Odana Rd
Uppr
Madison, WI 53719

207 S Cherry Ave
Marshfield, WI 54449
Phone (715) 842-5577

13460 N Port Washington Rd
Mequon, WI 53097
Phone (262) 377-2902

300 Logan St
Merrill, WI 54452
Phone (715) 842-5577

6101 W Vliet St
Ste 100
Milwaukee, WI 53213
Phone (414) 281-4400

2831 N Grandview Blvd
Ste 209
Pewaukee, WI 53072
Phone (414) 246-2770

1500 Douglas Dr
Plymouth, WI 53073
Phone (414) 304-3600

2219 Washington Ave
Racine, WI 53405
Phone (262) 637-3886

2711 19th St
Racine, WI 53403
Phone (262) 637-3886

235 N Stevens St
Rhinelander, WI 54501
Phone (715) 842-5577

428 Wisconsin Ave
Sheboygan, WI 53081
Phone (414) 304-3600

706 N 9th St
Sheboygan, WI 53081
Phone (920) 458-4161

1052 Main St
#6B
Stevens Point, WI 54481
Phone (715) 842-5577

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1386719177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WINNEBAGO ST FL 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045315",
            "telephone_number": "608-234-2074",
            "fax_number": "608-270-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N RANDALL AVE",
            "address_2": "SUITE A",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535451958",
            "telephone_number": "608-752-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "TREGLOWNE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-246-2300"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSS Janesville Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LSS Janesville Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.