NPIMap

Organization Active NPI

County of Rock

Doing business as Janesville Community Support Program

  • Community/Behavioral Health Agency
  • Janesville, WI
National Provider Identifier
1407029879
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF ROCK
Doing business as
Janesville Community Support Program
Practice address
1717 Center Ave
Janesville, WI 53546-2818
Phone
(608) 757-5025
NPI assigned
Apr 8, 2008
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCK COUNTY HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Jillian Bauer
Title
Business Supervisor
Phone
(608) 757-5152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1717 Center Ave
Janesville, WI 53546-2818

Mailing address

1717 Center Ave
Janesville, WI 53546-2818
Phone (608) 757-5025

Other practice location 1

35 S Main St
Janesville, WI 53545-3922
Phone (608) 757-5566

Other identifiers 1

IdentifierTypeStateIssuer
43420100MedicaidWI

Other names 1

  • Janesville Community Support Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rock County Health Dept15 organizations share this tax ID, including this one
Part of
Rock County Health Dept

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1407029879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 CENTER AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462818",
            "telephone_number": "608-757-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 CENTER AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462818",
            "telephone_number": "608-757-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Main St",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535453922",
            "country_code": "US",
            "telephone_number": "608-757-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF ROCK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCK COUNTY HUMAN SERVICES",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "BUSINESS SUPERVISOR",
        "authorized_official_telephone_number": "608-757-5152"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43420100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janesville Community Support Program",
            "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 27, 2025; 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.