NPIMap

Organization Active NPI

Aurora Community Counseling Employee Support and Services, Inc.

  • Social Worker
  • Spooner, WI
National Provider Identifier
1962651646
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2631 Issued in WI
Legal business name
AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC.
Practice address
N4851 Highway 63
Spooner, WI 54801-8675
Phone
(715) 635-4858
Fax
(715) 635-4861
NPI assigned
Sep 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Kelly Johnson
Title
Credentialing Manager
Phone
(715) 532-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 2631 WI Primary

Addresses

Primary practice location

N4851 Highway 63
Spooner, WI 54801-8675

Mailing address

N4851 Highway 63
Spooner, WI 54801-8675
Phone (715) 635-4858

Other identifiers 1

IdentifierTypeStateIssuer
42244400MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Aurora Community Counseling Employee Support and Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1962651646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4851 HIGHWAY 63",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548018675",
            "telephone_number": "715-635-4858",
            "fax_number": "715-635-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4851 HIGHWAY 63",
            "city": "SPOONER",
            "state": "WI",
            "postal_code": "548018675",
            "telephone_number": "715-635-4858",
            "fax_number": "715-635-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA COMMUNITY COUNSELING EMPLOYEE SUPPORT AND SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "715-532-9771"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42244400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spooner, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.