JEFFERSON COUNTY (NPI# 1689843831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689843831 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY |
| Other Organization Name | JEFFERSON COUNTY HUMAN SERVICES-CRISIS INTERVENTION RENDERING PROVIDER |
| Practice Address |
1541 Annex Rd Jefferson WI 53549-9803 |
| Practice Telephone | 9206743105 |
| Practice Fax Number | 9206746113 |
| Mailing Telephone | 9206743105 |
| Mailing Fax Number | 9206746113 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | DANIEL GEBAUER (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 9206743105 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | JEFFERSON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1449 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32980900 | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson County Human Services-Crisis Intervention Rendering Provider | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124224977 | Jefferson County | Local Education Agency (LEA) | 2100 18th St S, Birmingham, AL 35209-1296 | 2007-06-26 |
| 1235253907 | Jefferson County | Public Health or Welfare | 1 Doctors Park Rd Ste F, Mount Vernon, IL 62864-6291 | 2007-03-19 |
| 1790843787 | Jefferson County | Public Health or Welfare | 645 Parfet St, Lakewood, CO 80215-5574 | 2006-12-04 |
| 1578562286 | Jefferson County | Clinic/Center | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2005-07-15 |
| 1629075866 | Jefferson County | Home Health | 200 W Briggs Ave, Fairfield, IA 52556-2826 | 2005-07-01 |
| 1043213283 | Jefferson County | Home Health | 531 Meade St, Watertown, NY 13601-1225 | 2005-05-23 |
| 1760802854 | Jefferson County | Public Health or Welfare | 200 W Briggs Ave, Fairfield, IA 52556-2826 | 2014-04-16 |
| 1700189883 | Jefferson County | Public Health or Welfare | 6303 Wadsworth Bypass, Arvada, CO 80003 | 2010-12-13 |
| 1811135494 | Jefferson County | Public Health or Welfare | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2009-02-04 |
| 1144499385 | Jefferson County | Community/Behavioral Health | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2008-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JEFFERSON COUNTY 4-H ASSOCIATION | Jefferson County 4-h Leaders, 850 Nw Dogwood Ln, Madras, OR 97741 |
| Colorado Business Entities | JEFFERSON COUNTY 4-H FOUNDATION, INC. | 16581 Red Cliff Circle, Morrison, CO 80465 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY 911 | 2659 Center Point Pkwy, Birmingham, AL 35215-2501 |
| Iowa Business Entities | JEFFERSON COUNTY ABSTRACT & LAND TITLE COMPANY, INC. | 122 N Court St, Fairfield, IA 52556 |
| New York State Corporations | JEFFERSON COUNTY ADULT DAY CARE CENTERS, INC. | 723 State St., Watertown, Ny 13601 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY AIRPORT | 292 Airpark Dr, Wintersville, OH 43953-9214 |
| Washington State Corporations | JEFFERSON COUNTY AIRPORT CONDO | 3416 E Quilcene Rd, Quilcene, WA 98376-7505 |
| Oklahoma Business Registrations | JEFFERSON COUNTY ANIMAL HOSPITAL, INC. | East Hwy 70, Waurika, OK 73573 |
| System for Award Management (SAM) Entities | JEFFERSON COUNTY AREA AGENCY ON AGING | 186 Main St Ste 2, Brookville, PA 15825-0806 |
| Oregon Corporations, Companies and Business Names | JEFFERSON COUNTY ARTS ASSOCIATION | 185 Se Fifth St, Madras, OR 97741 |
| Street Address |
1541 ANNEX RD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562286 | Jefferson County | Clinic/Center | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2005-07-15 |
| 1619584844 | Sean Arient | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-10-01 |
| 1780290163 | Cassie A Hohlstein | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-21 |
| 1770198988 | Gwendolyn J Olson | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-14 |
| 1366057242 | Shelly Marie Theder | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-09 |
| 1619580578 | Kassie Kluge | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-08-28 |
| 1770101008 | Kenneth William Strege | Community Health Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-13 |
| 1023636313 | Bao Yang | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-13 |
| 1124646757 | Laura Ann Bambrough | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-09 |
| 1467070086 | Maureen Browning | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| 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 |
|---|---|---|---|---|
| 1063991032 | K Bare LLC | Community/Behavioral Health | 1031 S Main Street, Jefferson, WI 53549-1631 | 2018-08-10 |
| 1730557372 | Applied Wellness LLC | Community/Behavioral Health | 168 Waldoboro Rd, Jefferson, ME 04348-3922 | 2015-09-14 |
| 1487929188 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite A, Jefferson, NC 28640-8956 | 2012-03-13 |
| 1205112745 | Daymark Recovery Services Inc | Community/Behavioral Health | 162 Wm Jb Blevins Dr, Jefferson, NC 28640-9528 | 2011-10-28 |
| 1689731366 | New River Service Authority | Community/Behavioral Health | 162 Wm. Jb Blevins Road, Jefferson, NC 28640-9723 | 2007-01-02 |
| 1366502536 | New River Service Authority | Community/Behavioral Health | 221 West Main Street, Jefferson, NC 28640-9723 | 2006-12-11 |
| 1205219284 | Turning Point Services, Inc. | Community/Behavioral Health | 325 Court St, Jefferson, NC 28640-9696 | 2015-07-08 |
| 1265788541 | Lawson Support Services | Community/Behavioral Health | 626 Ashe Central School Rd, Suite B, Jefferson, NC 28640-8956 | 2012-07-24 |
| 1871860650 | Daymark Recovery .services Inc | Community/Behavioral Health | 221 W Main St, Jefferson, NC 28640-9723 | 2011-11-22 |
| 1679718324 | Capielano & Associates | Community/Behavioral Health | 4728 Jefferson Hwy, Jefferson, LA 70121-3125 | 2008-12-10 |
| Find all providers in JEFFERSON | ||||
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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.