NPIMap

Organization Active NPI

County of Waushara

Doing business as Waushara County Clinical Services

  • Counselor
  • Wautoma, WI
National Provider Identifier
1841463213
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COUNTY OF WAUSHARA
Doing business as
Waushara County Clinical Services
Practice address
380 S Townline Rd
Wautoma, WI 54982-6900
Phone
(920) 787-6550
Fax
(920) 787-0421
NPI assigned
Apr 8, 2008
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Authorized official

Name
Kim Krueger
Title
Financial Assistant
Phone
(920) 787-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

380 S Townline Rd
Wautoma, WI 54982-6900

Mailing address

380 S Townline Rd
Wautoma, WI 54982-6900
Phone (920) 787-6550

Other identifiers 1

IdentifierTypeStateIssuer
23110691MedicaidWI

Other names 2

  • Waushara County Clinical Services Doing business as
  • CLTS Other name

National Provider Directory

National Provider Directory
Tax ID family
Waushara Co Clinical SV12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1841463213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826900",
            "telephone_number": "920-787-6550",
            "fax_number": "920-787-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826900",
            "telephone_number": "920-787-6550",
            "fax_number": "920-787-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WAUSHARA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "FINANCIAL ASSISTANT",
        "authorized_official_telephone_number": "920-787-6550"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23110691",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waushara County Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CLTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wautoma, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.