NPIMap

Organization Active NPI

James D Wiedenhoeft Partnership

  • Community/Behavioral Health Agency
  • Shiocton, WI
National Provider Identifier
1497921183
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1578 Issued in WI
Legal business name
JAMES D WIEDENHOEFT PARTNERSHIP
Practice address
N5367 Mayflower Rd
Shiocton, WI 54170-8934
Phone
(920) 986-3003
Fax
(920) 986-3004
NPI assigned
May 2, 2008
Organization subpart
Yes
Parent organization
CHAPS ACADEMY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Ms. Ann M Dake, LCSW
Title
Ceo
Phone
(920) 986-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1578 WI Primary

Addresses

Primary practice location

N5367 Mayflower Rd
Shiocton, WI 54170-8934

Mailing address

N5367 Mayflower Rd
Shiocton, WI 54170-8934
Phone (920) 986-3003

Other identifiers 1

IdentifierTypeStateIssuer
42192600MedicaidWI

Other names 1

  • Medical & Counseling Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James D Wiedenhoeft Partnership2 organizations share this tax ID, including this one
Part of
Chaps Academy Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1497921183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5367 MAYFLOWER RD",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541708934",
            "telephone_number": "920-986-3003",
            "fax_number": "920-986-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D WIEDENHOEFT PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAPS ACADEMY, INC",
        "enumeration_date": "2008-05-02",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "DAKE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-986-3003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42192600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical & Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shiocton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.