COUNTY OF JACKSON (NPI# 1801114632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801114632 |
| Entity Type | Organization |
| Organization Name | COUNTY OF JACKSON |
| Other Organization Name | JACKSON COUNTY DHHS BEHAVIORAL HEALTH CLINIC |
| Practice Address |
421 County Road R Black River Falls WI 54615-5129 |
| Practice Telephone | 7152844301 |
| Mailing Telephone | 7152844301 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | PAM TAYLOR (BEHAVIORAL HEALTH SPECIALIST) |
| Authorized Official Telephone | 7152844301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Jackson County DHHS Behavioral Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851601132 | County of Jackson | Ambulance | 260 Pattonsville Rd, Jackson, OH 45640-9452 | 2010-10-20 |
| 1952445025 | County of Jackson | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2007-02-20 |
| 1609912096 | County of Jackson | Case Management | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-01-30 |
| 1659934305 | County of Jackson | Clinic/Center | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2019-04-18 |
| 1376095836 | County of Jackson | Clinic/Center | 140 S Holly St, Medford, OR 97501-3113 | 2016-11-01 |
| 1558738872 | County of Jackson | Early Intervention Provider Agency | 421 County Road R, Black River Falls, WI 54615-5129 | 2015-08-24 |
| 1568746808 | County of Jackson | Clinic/Center | 538 Scotts Creek Rd, Suite 100, Sylva, NC 28779-5281 | 2011-10-05 |
| 1356466098 | County of Jackson | Public Health or Welfare | 200 E Main St, Jackson, OH 45640-1716 | 2007-03-20 |
| 1992842348 | County of Jackson | Clinic/Center | 538 Scotts Creek Road, Suite 100, Sylva, NC 28779-5281 | 2007-02-01 |
| 1710933379 | County of Jackson | Clinic/Center | 140 South Holly Street, Medford, OR 97501 | 2006-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF JACKSON | 21200 Highway 62, Shady Cove, OR 97539-9715 |
| System for Award Management (SAM) Entities | COUNTY OF JACKSON; VILLAGE OF ELKVILLE | 405 S Sixth St, Elkville, IL 62932-1044 |
| Street Address |
421 COUNTY ROAD R |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952445025 | County of Jackson | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2007-02-20 |
| 1770119331 | Rebecca Handler | Counselor | 421 County Road R, Black River Falls, WI 54615-5129 | 2020-03-16 |
| 1558738872 | County of Jackson | Early Intervention Provider Agency | 421 County Road R, Black River Falls, WI 54615-5129 | 2015-08-24 |
| 1275866170 | Jackson County Dept. of Health & Human Services | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2009-09-09 |
| 1124275722 | Jackson County Department of Health & Human Services | Community/Behavioral Health | 421 County Road R, Black River Falls, WI 54615-5129 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871825315 | Family & Children's Center | Clinic/Center | 409 County Road R, Black River Falls, WI 54615-5129 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on COUNTY OF JACKSON.
| 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.