Active NPI
Sankofa Behavioral & Community Health, Inc
- Community/Behavioral Health Agency
- Madison, WI
National Provider Identifier
1912243288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3010
- Legal business name
- SANKOFA BEHAVIORAL & COMMUNITY HEALTH, INC
- Doing business as
- SankofaBCH
- Practice address
- 2810 Crossroads Dr
Suite 4000
Madison, WI 53718-7942 - Phone
- (414) 202-9146
- NPI assigned
- Dec 14, 2012
- 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
- Valerie V. Henderson, DR.
- Title
- Director/Clinicial
- Phone
- (414) 202-9146
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 3010 | WI | Primary |
Addresses
Primary practice location
2810 Crossroads Dr
Suite 4000
Madison, WI 53718-7942
Mailing address
2810 Crossroads Dr
Suite 4000
Madison, WI 53718-7942
Phone (414) 202-9146
Other names 1
- SankofaBCH
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Monona, WI
- NPI 1073899340
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422489600000",
"number": "1912243288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 CROSSROADS DR",
"address_2": "SUITE 4000",
"city": "MADISON",
"state": "WI",
"postal_code": "537187942",
"telephone_number": "414-202-9146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 CROSSROADS DR",
"address_2": "SUITE 4000",
"city": "MADISON",
"state": "WI",
"postal_code": "537187942",
"telephone_number": "414-202-9146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANKOFA BEHAVIORAL & COMMUNITY HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-14",
"last_updated": "2015-01-29",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "V.",
"authorized_official_title_or_position": "DIRECTOR/CLINICIAL",
"authorized_official_telephone_number": "414-202-9146",
"authorized_official_credential": "DR."
},
"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": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "3010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SankofaBCH",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.