Organization Active NPI

Behavioral Health Clinic, LLC

  • Clinical Psychologist
  • Grafton, WI
National Provider Identifier
1902698533
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEHAVIORAL HEALTH CLINIC, LLC
Practice address
1245 Cheyenne Ave Ste 200
Grafton, WI 53024-9323
Phone
(715) 842-9500
Fax
(715) 848-0425
NPI assigned
May 20, 2025
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Charity Dawn Fancher
Title
Operations Administrator
Phone
(715) 842-9500

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1245 Cheyenne Ave Ste 200
Grafton, WI 53024-9323

Mailing address

630 S 36TH Ave
Wausau, WI 54401-3930
Phone (715) 842-9500

Other practice location 1

2417 Post Rd
Stevens Point, WI 54481-6132
Phone (715) 842-9500

Other practice location 2

100 S Mill St Ste 104
Merrill, WI 54452-2558
Phone (715) 842-9500

Other practice location 3

4706 Cottage Grove Rd Ste 100
Madison, WI 53716-1354
Phone (715) 842-9500

Other practice location 4

1800 Pleasure Island Rd
Eagle River, WI 54521-8980
Phone (715) 842-9500

Other practice location 5

601 E 3rd St
Marshfield, WI 54449-4512
Phone (715) 842-9500

Other practice location 6

630 S 36th Ave
Wausau, WI 54401-3930
Phone (715) 842-9500

Other practice location 7

245 Regency Ct Ste 200A
Brookfield, WI 53045-6167
Phone (715) 842-9500

Other practice location 8

201 N Main St Ste 409
Fort Atkinson, WI 53538-1807
Phone (715) 842-9500

Other practice location 9

703 N 9th St
Sheboygan, WI 53081-4515
Phone (715) 842-9500

Other practice location 10

400 Reid St Ste N
DE Pere, WI 54115-2164
Phone (715) 842-9500

Other practice location 11

1324 W Clairemont Ave Ste 3
Eau Claire, WI 54701-6191
Phone (715) 842-9500

Other practice location 12

2363 S 102nd St Ste 302
West Allis, WI 53227-2143
Phone (715) 842-9500

Other practice location 13

W67N222 Evergreen Blvd Ste 209
Cedarburg, WI 53012-2645
Phone (715) 842-9500

Other practice location 14

207 E Buffalo St Ste 510
Milwaukee, WI 53202-5898
Phone (715) 842-9500

Other practice location 15

1615 Barton Ave
West Bend, WI 53090-2029
Phone (715) 842-9500

Other practice location 16

530 Grant St
Wausau, WI 54403-4738
Phone (715) 842-9500

Other practice location 17

1000 Machmueller St
Weston, WI 54476-3811
Phone (715) 842-9500

Other names 1

  • Behavioral Health Clinic of Wausau Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Behavioral Health Clinic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

245 Regency Ct
Ste 200A
Brookfield, WI 53045

435 N Broadway
#A3
De Pere, WI 54115

201 N Main St
Ste 409
Fort Atkinson, WI 53538
Phone (608) 888-6381

4706 Cottage Grove Rd
Ste 100
Madison, WI 53716
Phone (608) 268-6530

601 E 3rd St
Marshfield, WI 54449
Phone (715) 384-0080

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1902698533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S 36TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013930",
            "telephone_number": "715-842-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE STE 200",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544816132",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Mill St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544522558",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4706 Cottage Grove Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537161354",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Pleasure Island Rd",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "WI",
            "postal_code": "545218980",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544494512",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 S 36th Ave",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544013930",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Regency Ct Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530456167",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Main St Ste 409",
            "address_purpose": "LOCATION",
            "city": "Fort Atkinson",
            "state": "WI",
            "postal_code": "535381807",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530814515",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Reid St Ste N",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541152164",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 W Clairemont Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547016191",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2363 S 102nd St Ste 302",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272143",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W67N222 Evergreen Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Cedarburg",
            "state": "WI",
            "postal_code": "530122645",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 E Buffalo St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532025898",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Barton Ave",
            "address_purpose": "LOCATION",
            "city": "West Bend",
            "state": "WI",
            "postal_code": "530902029",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Grant St",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544034738",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Machmueller St",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544763811",
            "country_code": "US",
            "telephone_number": "715-842-9500",
            "fax_number": "715-848-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "715-842-9500"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Clinic of Wausau",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.