WINNEBAGO DEPT OF HUMAN SVC (NPI# 1366639304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366639304 |
| Entity Type | Organization |
| Organization Name | WINNEBAGO DEPT OF HUMAN SVC |
| Practice Address |
220 Washington Ave Oshkosh WI 54901-5030 |
| Mailing Address |
Po Box 2187 Oshkosh WI 54903-2187 |
| Practice Telephone | 9202361193 |
| Mailing Telephone | 9202361193 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | ELLEN SHUTE (CLAIMS COORDINATOR) |
| Authorized Official Telephone | 9202361193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41760600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437322658 | Winnebago Dept of Human Svc | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2008-04-09 |
| Street Address |
220 WASHINGTON AVE |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046818 | Kenneth Charles Casimir | Psychiatry & Neurology | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2006-07-18 |
| 1053922088 | Laura A Craig | Registered Nurse | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-08-13 |
| 1528679545 | Samantha Paugels | Social Worker | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-08-13 |
| 1528684545 | Emily Ruf | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-06-25 |
| 1124672969 | Shannon Hurlbut | Social Worker | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2019-07-30 |
| 1164081964 | Rachael Van Dyke | Social Worker | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2019-06-06 |
| 1760940993 | Shaun Donohue | Social Worker | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2019-03-06 |
| 1790275725 | Andrea Haque | Social Worker | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2018-05-15 |
| 1851821094 | Jennifer Henning | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2017-06-19 |
| 1568990406 | Winnebago Co Dept of Human Svc | Clinic/Center | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2017-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720573876 | Trio Academy Inc | Community/Behavioral Health | 2850 Universal St, Oshkosh, WI 54904-8975 | 2018-06-29 |
| 1497166797 | Ketelhut Counseling LLC | Community/Behavioral Health | 1936b Algoma Blvd, Oshkosh, WI 54901-2104 | 2014-05-08 |
| 1497165831 | Panhandle Mental Health Center | Community/Behavioral Health | 310 Main St Ofc A, Oshkosh, NE 69154-6112 | 2014-05-07 |
| 1780133702 | Wc&c-williams Counseling and Consultation | Community/Behavioral Health | 404 N Main St Ste 501, Oshkosh, WI 54901-4952 | 2016-10-03 |
| 1851797005 | Integrity Counseling, LLC | Community/Behavioral Health | 404 N Main St Ste 612, Oshkosh, WI 54901-4953 | 2014-11-17 |
| 1174796395 | County of Winnebago | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2008-04-09 |
| 1619140845 | Winnebago Co Dept of Human Svc | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2008-04-09 |
| 1437322658 | Winnebago Dept of Human Svc | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2008-04-09 |
| 1891981767 | Winnebago Co Dept of Human Svc | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2007-09-24 |
| 1104012079 | Winnebago Co Dept of Human Svc | Community/Behavioral Health | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2007-09-24 |
| Find all providers in OSHKOSH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.