NPIMap

Organization Active NPI

Cooperative Educational Service Agency 2

  • Developmentally Disabled Services Day Training Agency
  • Janesville, WI
National Provider Identifier
1669860193
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
COOPERATIVE EDUCATIONAL SERVICE AGENCY 2
Practice address
17 S River Street
#100
Janesville, WI 53548
Phone
(608) 741-6687
Fax
(608) 756-1288
NPI assigned
Jan 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Nicole Barlass
Title
Executive Director of Operations
Phone
(262) 473-1447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

17 S River Street
#100
Janesville, WI 53548

Mailing address

1221 Innovation Drive
Suite 205
Whitewater, WI 53190
Phone (262) 473-1473

Other names 1

  • Birth to 3 Program Doing business as

National Provider Directory

National Provider Directory

Locations

17 S River St
Ste 100
Janesville, WI 53548
Phone (608) 741-6687

2020 E Milwaukee St
Ste 6
Janesville, WI 53545
Phone (608) 756-3147

1221 Innovation Dr
Ste 205
Whitewater, WI 53190

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1669860193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 INNOVATION DRIVE",
            "address_2": "SUITE 205",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "53190",
            "telephone_number": "262-473-1473",
            "fax_number": "262-472-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S RIVER STREET",
            "address_2": "#100",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-741-6687",
            "fax_number": "608-756-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE EDUCATIONAL SERVICE AGENCY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "BARLASS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "262-473-1447"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Birth to 3 Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.