Organization Active NPI

Kriss and Associates LLC

  • Clinical Social Worker
  • Middleton, WI
National Provider Identifier
1760711121
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2250 Issued in WI
Legal business name
KRISS AND ASSOCIATES LLC
Practice address
6702 Stonefield Rd
Suite 100
Middleton, WI 53562-3875
Phone
(608) 836-5529
Fax
(608) 836-8059
NPI assigned
Dec 15, 2009
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mr. Marlin Peter Kriss, LCSWNPI 1588626618
Title
Owner
Phone
(608) 836-5529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2250 WI Primary

Addresses

Primary practice location

6702 Stonefield Rd
Suite 100
Middleton, WI 53562-3875

Mailing address

6702 Stonefield Rd
Suite 100
Middleton, WI 53562-3875
Phone (608) 836-5529

Other identifiers 1

IdentifierTypeStateIssuer
42123400MedicaidWI

National Provider Directory

National Provider Directory

Locations

6702 Stonefield Rd
Ste 1
Middleton, WI 53562
Phone (608) 836-5529

6702 Stonefield Rd
Ste 100
Middleton, WI 53562
Phone (608) 836-5529

Practitioners & affiliated clinicians

Practitioners 1

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": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1760711121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6702 STONEFIELD RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623875",
            "telephone_number": "608-836-5529",
            "fax_number": "608-836-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 STONEFIELD RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623875",
            "telephone_number": "608-836-5529",
            "fax_number": "608-836-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISS AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "KRISS",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-836-5529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42123400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.