Behavioral Health Clinic, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BEHAVIORAL HEALTH CLINIC, LLC

Practice address

630 S 36TH Ave
Wausau, WI 54401-3930

Phone

(715) 842-9500

Fax

(715) 848-0425

NPI assigned

Oct 22, 2012

Last updated

Oct 9, 2026By 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

Charity Dawn Fancher

Title

Operations Administrator

Phone

(715) 842-9500

Specialties & licenses 13

Addresses

Other names 1

• Behavioral Health Clinic of Wausau Former legal business name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Behavioral Health Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Behavioral Health Clinic, LLC

  • Clinical Psychologist
  • Grafton, WI
  • NPI 1902698533
  NPD tax ID
• Behavioral Health Clinic, LLC

  • Clinical Psychologist
  • Alexandria, MN
  • NPI 1083530778
  NPD tax ID

Locations

Practitioners 88

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.

• Katie Lynn Akkerman, LPC

  • Professional Counselor
  • Stevens Point, WI
  • NPI 1598432569
  Medicare reassignment Care Compare group NPD
• Benjamin Bechle, LPC

  • Mental Health Counselor
  • Sheboygan, WI
  • NPI 1003502584

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Tonya Lyn Krueger Callahan, MS CRC LPC

  • Professional Counselor
  • Wisconsin Rapids, WI
  • NPI 1639804107
  Medicare reassignment Care Compare group NPD
• Nolan J Campbell, LPC

  • Mental Health Counselor
  • Eau Claire, WI
  • NPI 1205426244
  Medicare reassignment Care Compare group NPD
• Cynthia Jean Carlson, MA, LPC

  • Professional Counselor
  • Grafton, WI
  • NPI 1427361427
  Medicare reassignment Care Compare group NPD
• Daphne Christine Deeren, LPC

  • Mental Health Counselor
  • Merrill, WI
  • NPI 1417722646
  Medicare reassignment Care Compare group NPD
• Olushola Dina, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
  • NPI 1811705262
  Medicare reassignment Care Compare group NPD
• Rachel M Eifert, LPC, CSAC, ICS

  • Professional Counselor
  • Stevens Point, WI
  • NPI 1205168655

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD
• Shawn Allen Fischer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Appleton, WI
  • NPI 1316401706
  Medicare reassignment Care Compare group NPD
• Timothy Eric Freundl, LPC

  • Professional Counselor
  • Stevens Point, WI
  • NPI 1548787278
  Medicare reassignment Care Compare group NPD
• Jessica Glab, APSW

  • Clinical Social Worker
  • Grafton, WI
  • NPI 1821524166
  Medicare reassignment Care Compare group NPD
• Jamie L Gunderson, MSW, LCSW

  • Clinical Social Worker
  • Sheboygan, WI
  • NPI 1437947579
  Medicare reassignment Care Compare group NPD

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1831442359",
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            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
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            "address_1": "630 S 36TH AVE",
            "city": "WAUSAU",
            "state": "WI",
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            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425"
        },
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        }
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    "practiceLocations": [
        {
            "address_1": "4706 Cottage Grove Rd Ste 100",
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            "city": "Madison",
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            "country_name": "United States",
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        {
            "address_1": "703 N 9th St",
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            "address_1": "2363 S 102nd St Ste 302",
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        {
            "address_1": "7300 S 13th St Ste 102",
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        {
            "address_1": "1324 W Clairemont Ave Ste 3",
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        {
            "address_1": "201 N Main St Ste 409",
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            "telephone_number": "608-888-6381",
            "fax_number": "608-673-3577",
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        {
            "address_1": "530 Grant St",
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            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
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        },
        {
            "address_1": "507 N Nokomis St Ste 222",
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            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563085181",
            "country_code": "US",
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            "country_name": "United States",
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        },
        {
            "address_1": "400 Reid St Ste N",
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            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152164",
            "country_code": "US",
            "telephone_number": "715-842-9500",
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        },
        {
            "address_1": "207 E Buffalo St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532025898",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
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        },
        {
            "address_1": "245 Regency Ct Ste 200A",
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            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530456167",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
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        },
        {
            "address_1": "1615 Barton Ave",
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            "city": "West Bend",
            "state": "WI",
            "postal_code": "530902029",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
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        {
            "address_1": "1245 Cheyenne Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WI",
            "postal_code": "530249323",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
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        {
            "address_1": "1800 Pleasure Island Rd",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "WI",
            "postal_code": "545218980",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
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        {
            "address_1": "1000 Machmueller St",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544763811",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
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        },
        {
            "address_1": "W67N222 Evergreen Blvd Ste 209",
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            "city": "Cedarburg",
            "state": "WI",
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            "country_code": "US",
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            "fax_number": "715-848-0425",
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        {
            "address_1": "100 S Mill St Ste 104",
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            "city": "Merrill",
            "state": "WI",
            "postal_code": "544522558",
            "country_code": "US",
            "telephone_number": "715-842-9500",
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        {
            "address_1": "601 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544494512",
            "country_code": "US",
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            "address_1": "2417 Post Rd",
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            "postal_code": "544816134",
            "country_code": "US",
            "telephone_number": "715-544-6144",
            "fax_number": "715-544-4599",
            "country_name": "United States",
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    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "715-842-9500"
    },
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            "license": null,
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    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clinic of Wausau",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Robert N. Beauchene, M.D.
• Andrew Beaumont, M.D., PH.D.
• Angela Renee Becker, DPT
• Sarah J Becker, PA
• Megan Bednarczyk, LPC
• Brad Beilke, PT
• Erika Leah Beining, CRNA
• Susan Johanna Belanger, CADC III, CCS II
• Anthony Joseph Bell, DO
• Rachelle Belott

• Clinical Psychologist in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.