Active NPI
Aurora Communtiy Counseling Employee Support & Services, Inc. Dba: Acc
- Community/Behavioral Health Agency
- Siren, WI
National Provider Identifier
1902065501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AURORA COMMUNTIY COUNSELING EMPLOYEE SUPPORT & SERVICES, INC. DBA: ACC
- Practice address
- 24670 State Road 35 70
Suite 1200
Siren, WI 54872-4418 - Phone
- (715) 349-7233
- Fax
- (715) 349-7205
- NPI assigned
- Jun 9, 2008
- Last updated
- Aug 19, 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
- Andrew J Wolf, MSW
- Title
- Director
- Phone
- (715) 235-1839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
24670 State Road 35 70
Suite 1200
Siren, WI 54872-4418
Mailing address
24670 State Road 35 70
Suite 1200
Siren, WI 54872-4418
Phone (715) 349-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32979900 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Aurora Community Counseling Employee Support and Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba ACCESS, Inc.
- Community/Behavioral Health Agency
- Siren, WI
- NPI 1629244082
-
- Social Worker
- Siren, WI
- NPI 1639329113
-
- Social Worker
- Spooner, WI
- NPI 1962651646
-
dba ACCESS, Inc.
- Professional Counselor
- Menomonie, WI
- NPI 1437240868
Locations
24670 State Road 35 70
Ste 1200
Siren, WI 54872
Phone (715) 349-7233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1902065501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24670 STATE ROAD 35 70",
"address_2": "SUITE 1200",
"city": "SIREN",
"state": "WI",
"postal_code": "548724418",
"telephone_number": "715-349-7233",
"fax_number": "715-349-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24670 STATE ROAD 35 70",
"address_2": "SUITE 1200",
"city": "SIREN",
"state": "WI",
"postal_code": "548724418",
"telephone_number": "715-349-7233",
"fax_number": "715-349-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AURORA COMMUNTIY COUNSELING EMPLOYEE SUPPORT & SERVICES, INC. DBA: ACC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "715-235-1839",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32979900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Siren, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.