NPIMap

Organization Active NPI

Cooperative Educational Service Agency No 8

  • Local Education Agency (LEA)
  • Gillett, WI
National Provider Identifier
1699956607
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
COOPERATIVE EDUCATIONAL SERVICE AGENCY NO 8
Practice address
223 W Park Street
Gillett, WI 54124
Phone
(920) 855-2114
Fax
(920) 855-2299
NPI assigned
Nov 19, 2007
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Donald J Viegut, PHD
Title
Agency Administrator
Phone
(920) 855-2114

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3675-125 WI
Professional Counselor 101YP2500X 3840-125 WI
Counseling Psychologist 103TC1900X 970-57 WI
Local Education Agency (LEA) 251300000X WI Primary

Addresses

Primary practice location

223 W Park Street
Gillett, WI 54124

Mailing address

223 W Park Street
Gillett, WI 54124
Phone (920) 855-2114

Other identifiers 1

IdentifierTypeStateIssuer
44200600MedicaidWI

National Provider Directory

National Provider Directory

Locations

223 W Park St
Gillett, WI 54124
Phone (920) 855-2114

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1699956607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W PARK STREET",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "54124",
            "telephone_number": "920-855-2114",
            "fax_number": "920-855-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W PARK STREET",
            "city": "GILLETT",
            "state": "WI",
            "postal_code": "54124",
            "telephone_number": "920-855-2114",
            "fax_number": "920-855-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVE EDUCATIONAL SERVICE AGENCY NO 8",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "VIEGUT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "920-855-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3675-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3840-125",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "970-57",
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44200600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillett, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.