Organization Active NPI

Operation Fresh Start

  • Community/Behavioral Health Agency
  • Madison, WI
National Provider Identifier
1841466208
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
70968030 Issued in WI
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41868000OtherWIMEDICARE PROVIDER CERTIFICATION

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.