County of Monroe
Organization Active NPI Community/Behavioral Health Agency · Sparta, WI
NPI 1881813152 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1881813152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF MONROE
- Practice address
- 210 West Oak St.
Sparta, WI 54656-1796 - Phone
- (608) 269-8600
- Fax
- (608) 269-8935
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronald R Hamilton
- Title
- Director
- Phone
- (608) 269-8600
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Practitioners 10
-
Katie R. Fassbinder, M.D.
-
Vicki Lynn Riley, LPC-IT
-
Amy Schoenoff, APNP
-
Alicia Ann Darling, LCSW
-
Judy Ann Krause, LPC-IT, CSW, SAC-IT
-
Gary L Nelson, MSW
-
Emily M Nolte, CSAC
-
Lori Svendsen, BS, CERTIFIED SW
-
Nancy Thomas-Kremmer, MS, LCSW
-
Tapeesh Kansal, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Rolling Hills Rehab Center |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Apr 15, 2011 Jan 1, 1975 Aug 22, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051031000417 | WI | Part B Supplier - Clinic/Group Practice | 0042120222 |
Receives reassigned benefits from 3 practitioners Practice locations: Sparta, WI |
National Provider Directory
- Tax ID family
- County of Monroe Clerk Court
Locations
112 S Court St
Ste 3000
Sparta, WI 54656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | WI | Yes |
Addresses
Primary practice location
210 West Oak St.
Sparta, WI 54656-1796
Mailing address
210 West Oak Street
Sparta, WI 54656-1796
Phone (608) 269-8600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42138900 | Medicaid | WI |
Other names
- Monroe County Dept Human Services
Other providers in Sparta, WI
- Loni Burton
- Karen M Carney
- Zachary Ho Wan Chan
- Chiropractic Place LLC
- County of Monroe
- County of Monroe
- County of Monroe Clerk Court
- Aeriana Culpitt
- Alicia Ann Darling
- Teresa M Davis
All providers in Sparta, WI · Community/Behavioral Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.