Active NPI
Operation Fresh Start
- Community/Behavioral Health Agency
- Madison, WI
National Provider Identifier
1841466208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 70968030
- Legal business name
- OPERATION FRESH START
- Practice address
- 1925 Winnebago St
Madison, WI 53704-5314 - Phone
- (608) 244-4721
- Fax
- (608) 244-8162
- NPI assigned
- May 6, 2008
- Last updated
- May 6, 2008
- 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
- Jim Sanders, MS, LPC
- Title
- Deputy Director
- Phone
- (608) 244-4721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 70968030 | WI | Primary |
Addresses
Primary practice location
1925 Winnebago St
Madison, WI 53704-5314
Mailing address
1925 Winnebago St
Madison, WI 53704-5314
Phone (608) 244-4721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41868000 | Other | WI | MEDICARE PROVIDER CERTIFICATION |
National Provider Directory
National Provider DirectoryLocations
1925 Winnebago St
Madison, WI 53704
Phone (608) 244-4721
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.
-
- Professional Counselor
- Madison, WI
- NPI 1932372117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1841466208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 WINNEBAGO ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537045314",
"telephone_number": "608-244-4721",
"fax_number": "608-244-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WINNEBAGO ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537045314",
"telephone_number": "608-244-4721",
"fax_number": "608-244-8162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPERATION FRESH START",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "DEPUTY DIRECTOR",
"authorized_official_telephone_number": "608-244-4721",
"authorized_official_credential": "MS, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "70968030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER CERTIFICATION",
"identifier": "41868000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
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 May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.