NPIMap

Organization Active NPI

Bell Therapy Kenosha Community Support Program

  • Case Management Agency
  • Kenosha, WI
National Provider Identifier
1497951925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
2409 Issued in WI
Legal business name
BELL THERAPY KENOSHA COMMUNITY SUPPORT PROGRAM
Practice address
5500 8TH Ave
Kenosha, WI 53140-3700
Phone
(262) 564-0067
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anne Jones, M.S.
Title
Director of Outpatient Services
Phone
(414) 871-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2409 WI Primary

Addresses

Primary practice location

5500 8TH Ave
Kenosha, WI 53140-3700

Mailing address

5500 8TH Ave
Kenosha, WI 53140-3700
Phone (262) 564-0067

Other identifiers 2

IdentifierTypeStateIssuer
2409OtherWISTATE CERTIFICATE-LICENSE
43431100MedicaidWI

Other names 1

  • Bell Therapy CSP Kenosha Other name

National Provider Directory

National Provider Directory
Tax ID family
Bell Therapy - Sheridan Group Home58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497951925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403700",
            "telephone_number": "262-564-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403700",
            "telephone_number": "262-564-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELL THERAPY KENOSHA COMMUNITY SUPPORT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "414-871-6122",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "2409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATE-LICENSE",
            "identifier": "2409",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43431100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bell Therapy CSP Kenosha",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.