NPIMap

Organization Active NPI

Impact Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Germain, WI
National Provider Identifier
1689812422
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
42221700 Issued in WI
Legal business name
IMPACT COUNSELING SERVICES, LLC
Practice address
306 State Highway 70 E
Saint Germain, WI 54558-8800
Phone
(715) 479-8999
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
John A Hinz
Title
Business Manager
Phone
(715) 634-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 42221700 WI Primary

Addresses

Primary practice location

306 State Highway 70 E
Saint Germain, WI 54558-8800

Mailing address

15655 County Road B
P.O. Box 13251
Hayward, WI 54843-3251
Phone (715) 634-0607

Other names 1

  • ICS-Family Partners Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impact Counseling Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1689812422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 COUNTY ROAD B",
            "address_2": "P.O. BOX 13251",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433251",
            "telephone_number": "715-634-0607",
            "fax_number": "715-634-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATE HIGHWAY 70 E",
            "city": "SAINT GERMAIN",
            "state": "WI",
            "postal_code": "545588800",
            "telephone_number": "715-479-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "HINZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "715-634-0607"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "42221700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICS-Family Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Germain, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.