Active NPI
Lutheran Social Services of Wisconsin and Upper Michigan, Inc.
- Psychiatry Physician
- Madison, WI
National Provider Identifier
1811222151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
- Practice address
- 6314 Odana Rd
Madison, WI 53719-1129 - Phone
- (608) 277-0610
- Fax
- (608) 270-6651
- NPI assigned
- Oct 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Arzbecker
- Title
- Coo
- Phone
- (800) 488-5181
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| School Counselor | 101YS0200X | |||
| Psychologist | 103T00000X | |||
| Social Worker | 104100000X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
6314 Odana Rd
Madison, WI 53719-1129
Mailing address
1904 Winnebago St FL 2
Madison, WI 53704-5315
Phone (608) 234-2074
Other names 1
- LSS TeleHealth
National Provider Directory
National Provider Directory- Tax ID family
- Lutheran Social Serv
Other organizations with this tax ID 13
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-
- Addiction (Substance Use Disorder) Counselor
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- NPI 1386969723
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- Substance Abuse Rehabilitation Facility
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- Addiction (Substance Use Disorder) Counselor
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-
- Public Health or Welfare Agency
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- NPI 1730253758
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- Substance Abuse Rehabilitation Facility
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- NPI 1740355452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1811222151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 WINNEBAGO ST FL 2",
"city": "MADISON",
"state": "WI",
"postal_code": "537045315",
"telephone_number": "608-234-2074",
"fax_number": "608-270-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 ODANA RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537191129",
"telephone_number": "608-277-0610",
"fax_number": "608-270-6651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-05",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "ARZBECKER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "800-488-5181"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LSS TeleHealth",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LSS TeleHealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.