NPIMap

Organization Active NPI

Family Resources Associates Inc

  • Mental Health Counselor
  • Jefferson, WI
National Provider Identifier
1497960645
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1326 Issued in WI
Legal business name
FAMILY RESOURCES ASSOCIATES INC
Practice address
248 S Wisconsin Drive
Jefferson, WI 53549
Phone
(920) 261-4100
Fax
(920) 261-8801
NPI assigned
May 11, 2007
Organization subpart
Yes
Parent organization
FAMILY RESOURCES ASSOCIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Mrs. Nikki L Kueffer
Title
Business Manager
Phone
(920) 261-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1326 WI Primary

Addresses

Primary practice location

248 S Wisconsin Drive
Jefferson, WI 53549

Mailing address

PO Box 364
Watertown, WI 53094-0364
Phone (920) 261-4100

Other identifiers 6

IdentifierTypeStateIssuer
42177600MedicaidWI
326643OtherWIVALUE OPTIONS
546292OtherWIDEON
215861OtherWIMHN INSURANCE
28146151OtherWIWAUSAU BENEFITS INS
68376OtherWIWPPN MULTIPLAN INS

National Provider Directory

National Provider Directory
Part of
Family Resources Associates

Locations

248 Wisconsin Dr
Jefferson, WI 53549
Phone (920) 261-4100

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.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1497960645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530940364",
            "telephone_number": "920-261-4100",
            "fax_number": "920-261-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 S WISCONSIN DRIVE",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "53549",
            "telephone_number": "920-261-4100",
            "fax_number": "920-261-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCES ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY RESOURCES ASSOCIATES INC",
        "enumeration_date": "2007-05-11",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "KUEFFER",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "920-261-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42177600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "326643",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEON",
            "identifier": "546292",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN INSURANCE",
            "identifier": "215861",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WAUSAU BENEFITS INS",
            "identifier": "28146151",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPPN MULTIPLAN INS",
            "identifier": "68376",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.