NPIMap

Organization Active NPI

County of Rock

Doing business as Beloit Community Support Program

  • Community/Behavioral Health Agency
  • Beloit, WI
National Provider Identifier
1417120882
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
Beloit Community Support Program
Rock County Human Services
Practice address
64 Eclipse Ctr
Beloit, WI 53511-3550
Phone
(608) 363-6200
NPI assigned
Apr 8, 2008
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

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

64 Eclipse Ctr
Beloit, WI 53511-3550

Mailing address

64 Eclipse Ctr
Beloit, WI 53511-3550
Phone (608) 363-6200

Other identifiers 1

IdentifierTypeStateIssuer
43420300MedicaidWI

Other names 2

  • Beloit Community Support Program Doing business as
  • Rock County Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Rock County C15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

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": "1417120882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-363-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "608-363-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROCK",
        "organizational_subpart": "NO",
        "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": "43420300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloit Community Support Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock County Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beloit, 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.