Community Counseling & Evaluation Services, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6752-123 Issued in WI

Legal business name

COMMUNITY COUNSELING & EVALUATION SERVICES, LLC

Practice address

115 S Main St
Jefferson, WI 53549-1631

Phone

(920) 728-1125

NPI assigned

Nov 18, 2017

Last updated

Nov 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tammy Jane King, LCSWNPI 1851710909

Title

Ceo

Phone

(920) 728-1125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Tammy J. King, LCSW

  • Clinical Social Worker
  • Jefferson, WI
  • NPI 1851710909
  Authorized official Same address or phone
• Mary Beth Layden, LCSW

  • Clinical Social Worker
  • Greenfield, WI
  • NPI 1295856219
  NPD (past)

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

{
    "created_epoch": "1510963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510963200000",
    "number": "1700390374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E WOOLCOCK ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491234",
            "telephone_number": "920-728-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S MAIN ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491631",
            "telephone_number": "920-728-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING & EVALUATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-18",
        "last_updated": "2017-11-18",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-728-1125",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "6752-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1851710909",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca S Brown, SW
• Maureen Browning, ASSOC. BUS MNGMT
• Central Jefferson Chiropractic
• Chiropractic Care Centers, S.C. (Chiropractic Care Center - Jefferson)
• City of Jefferson (Jefferson EMS)
• Country Nurses, Inc.
• Rebecca Lynn Cox
• Carolyn Beth Custer, LAC
• David J Volk DC SC
• Becca Davies

• Adult Mental Health Clinic/Center in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Adult Mental Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2017; 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.