County of Portage

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COUNTY OF PORTAGE

Practice address

817 Whiting Ave
Stevens Point, WI 54481

Phone

(715) 345-5350

Fax

(715) 345-5966

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Raymond F Przybelski

Title

Director

Phone

(715) 345-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Portage

  • Land Ambulance
  • Stevens Point, WI
  • NPI 1154438885

  7416843388

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wagdy A Khalil

  • Psychiatry Physician
  • Madison, WI
  • NPI 1043507031
  Medicare reassignment Care Compare group NPD
• Aimee Yvonne Lehouillier, MSW, APSW

  • Mental Health Counselor
  • Hayward, WI
  • NPI 1396042438
  Medicare reassignment Care Compare group NPD
• Bababo O Opaneye, MD

  • Psychiatry Physician
  • Stevens Point, WI
  • NPI 1255621710
  Medicare reassignment Care Compare group NPD
• Jean Kay Oelschlager, MD

  • Psychiatry Physician
  • Oshkosh, WI
  • NPI 1518989417
  NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1386720043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-345-5350",
            "fax_number": "715-345-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "54481",
            "telephone_number": "715-345-5350",
            "fax_number": "715-345-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PORTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "PRZYBELSKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-345-5700"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42138600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Copperleaf Home Health Inc
• Megan B Cordner
• Jeana L. Council, PH.D.
• County of Portage
• County of Portage
• County of Portage
• Courtesy Carriers, Inc.
• Jodi L Cox, LAT, ATC
• Rachel Danae Craig, AU.D.
• Ann Marie Crivello, COTA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.