NPIMap

Organization Active NPI

Friends of Women in Recovery, Inc.

Doing business as Beacon House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fond Du Lac, WI
National Provider Identifier
1932792900
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
FRIENDS OF WOMEN IN RECOVERY, INC.
Doing business as
Beacon House
Practice address
166 S Park Ave
Fond Du Lac, WI 54935-4441
Phone
(920) 923-3999
Fax
(920) 923-3240
NPI assigned
Feb 19, 2021
Last updated
Feb 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Tracy Schmit
Title
Operations Director
Phone
(920) 923-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

166 S Park Ave
Fond Du Lac, WI 54935-4441

Mailing address

PO Box 1524
Fond Du Lac, WI 54936-1524
Phone (920) 923-3999

Other names 1

  • BEACON HOUSE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1932792900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1524",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361524",
            "telephone_number": "920-923-3999",
            "fax_number": "920-923-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S PARK AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354441",
            "telephone_number": "920-923-3999",
            "fax_number": "920-923-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF WOMEN IN RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHMIT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "920-923-3999"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACON HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.