NPIMap

Organization Active NPI

Children's Service Society

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1497884597
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CHILDREN'S SERVICE SOCIETY
Practice address
705 S 24TH Ave
Ste 400
Wausau, WI 54401-5242
Phone
(715) 848-1457
Fax
(715) 848-2959
NPI assigned
Mar 5, 2007
Last updated
Aug 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Ms. Jenny Walczak
Title
Director MBH Integration
Phone
(414) 337-6807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

705 S 24TH Ave
Ste 400
Wausau, WI 54401-5242

Mailing address

705 S 24TH Ave
Ste 400
Wausau, WI 54401-5242
Phone (715) 848-1457

Other practice location 1

503 S Cherry Ave Ste 4
Marshfield, WI 54449-4276
Phone (715) 387-2729

Other identifiers 2

IdentifierTypeStateIssuer
1497884597MedicaidWI
42129800MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Childrens Service Society15 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

Locations

503 S Cherry Ave
Ste 4
Marshfield, WI 54449
Phone (715) 387-2729

705 S 24th Ave
Ste 400
Wausau, WI 54401
Phone (715) 843-1864

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1497884597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "STE 400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S 24TH AVE",
            "address_2": "STE 400",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544015242",
            "telephone_number": "715-848-1457",
            "fax_number": "715-848-2959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 S Cherry Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544494276",
            "country_code": "US",
            "telephone_number": "715-387-2729",
            "fax_number": "715-387-4526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "DIRECTOR MBH INTEGRATION",
        "authorized_official_telephone_number": "414-337-6807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497884597",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42129800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.