Active NPI
Behavioral Health Clinic, LLC
- Clinical Psychologist
- Grafton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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, 2026
- 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
- Charity Dawn Fancher
- Title
- Operations Administrator
- Phone
- (715) 842-9500
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Counseling Psychologist | 103TC1900X | |||
| School Psychologist | 103TS0200X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 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
National Provider Directory
National Provider Directory- Tax ID family
- Behavioral Health Clinic LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Wausau, WI
- NPI 1831442359
-
- Clinical Psychologist
- Alexandria, MN
- NPI 1083530778
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.
-
- Hearing Instrument Specialist
- Schofield, WI
- NPI 1992158174
-
- Professional Counselor
- Wausau, WI
- NPI 1336733286
Addiction (Substance Use Disorder)
-
- Clinical Psychologist
- Wausau, WI
- NPI 1376989962
-
- Mental Health Counselor
- De Pere, WI
- NPI 1992508154
-
- Mental Health Counselor
- Eau Claire, WI
- NPI 1205426244
-
- Social Worker
- Madison, WI
- NPI 1881474419
-
- Mental Health Counselor
- Merrill, WI
- NPI 1417722646
-
- Psychiatric/Mental Health Nurse Practitioner
- Madison, WI
- NPI 1811705262
-
- Mental Health Counselor
- Madison, WI
- NPI 1730710450
Addiction (Substance Use Disorder)
-
- Clinical Social Worker
- Wausau, WI
- NPI 1558914085
Addiction (Substance Use Disorder)
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.