Stoughton Family Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1883 Issued in WI

Legal business name

STOUGHTON FAMILY COUNSELING SERVICES

Practice address

1520 Vernon St
Stoughton, WI 53589-2260

Phone

(608) 873-6422

NPI assigned

Jan 18, 2007

Last updated

Jun 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David W Druckenbrod, LCSWNPI 1134281959

Title

Clinical Director

Phone

(608) 873-1844

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• David W Druckenbrod, LCSW

  • Clinical Social Worker
  • Stoughton, WI
  • NPI 1134281959
  Authorized official Same address or phone

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1942352869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 VERNON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892260",
            "telephone_number": "608-873-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 VERNON ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892260",
            "telephone_number": "608-873-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOUGHTON FAMILY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "DRUCKENBROD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "608-873-1844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42111800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura D Stolcpart, MD
• Stoughton Area School District
• Stoughton Chemists Inc (McGlynn Pharmacy)
• Stoughton Eye Care & Eyewear LLC
• Stoughton Family Chiropractic LLC
• Stoughton Hospital Association (Stoughton Hospital Home Health)
• Stoughton Hospital Association
• Stoughton Hospital Association
• Stoughton Hospital Association
• Stoughton Meadows Assisted Living Facility

• Mental Health Clinic/Center (Including Community Mental Health Center) in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.