Organization Active NPI

Aj Falkers Counseling & Consulting Services, LLC

  • Community/Behavioral Health Agency
  • Sparta, WI
National Provider Identifier
1750980306
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AJ FALKERS COUNSELING & CONSULTING SERVICES, LLC
Practice address
402 S Black River St Ste 125
Sparta, WI 54656-2043
Phone
(608) 501-1189
Fax
(888) 928-1124
NPI assigned
Oct 23, 2020
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Amanda J Falkers
Title
Owner/Clinic Director
Phone
(608) 501-1189

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

402 S Black River St Ste 125
Sparta, WI 54656-2043

Mailing address

402 S Black River St Ste 125
Sparta, WI 54656-2043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251124002718 WI Part B Supplier - Clinic/Group Practice 8820580186 Receives reassigned benefits from 1 practitioner
Practice locations: Sparta, WI; Tomah, WI

National Provider Directory

National Provider Directory

Locations

402 S Black River St
Ste 125
Sparta, WI 54656
Phone (608) 501-1189

935 N Superior Ave
Ste A1
Tomah, WI 54660
Phone (608) 501-1189

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": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1750980306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S BLACK RIVER ST STE 125",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562043",
            "fax_number": "888-928-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S BLACK RIVER ST STE 125",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562043",
            "telephone_number": "608-501-1189",
            "fax_number": "888-928-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ FALKERS COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "FALKERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "608-501-1189",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.