NPIMap

Organization Active NPI

Credence Therapy Associates Inc

Doing business as Credence Therapy Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
National Provider Identifier
1487648663
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1262 Issued in WI
Legal business name
CREDENCE THERAPY ASSOCIATES INC
Doing business as
Credence Therapy Associates
Practice address
1 1/2 W Geneva St
Elkhorn, WI 53121-1722
Phone
(262) 723-3424
Fax
(262) 723-8308
NPI assigned
Sep 2, 2005
Last updated
Dec 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Authorized official

Name
Ms. Kim Ann Steen, LCSWNPI 1952395477
Title
Director
Phone
(262) 723-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1262 WI Primary

Addresses

Primary practice location

1 1/2 W Geneva St
Elkhorn, WI 53121-1722

Mailing address

1 1/2 W Geneva St
Elkhorn, WI 53121-1722
Phone (262) 723-3424

Other identifiers 5

IdentifierTypeStateIssuer
538578OtherWIDEAN CARE
17257700OtherMAGELLAN BEH HEALTH
42168400MedicaidWI
42169400OtherWIHIRSP
42168400OtherCENPATICO

Other names 1

  • Credence Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1 W Geneva St
Elkhorn, WI 53121
Phone (262) 707-0203

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1487648663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 1/2 W GENEVA ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211722",
            "telephone_number": "262-723-3424",
            "fax_number": "262-723-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "STEEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-723-3424",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN CARE",
            "identifier": "538578",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEH HEALTH",
            "identifier": "17257700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42168400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "42169400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENPATICO",
            "identifier": "42168400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Credence Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkhorn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.