OPERATION FRESH START (NPI# 1841466208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841466208 |
| Entity Type | Organization |
| Organization Name | OPERATION FRESH START |
| Practice Address |
1925 Winnebago St Madison WI 53704-5314 |
| Practice Telephone | 6082444721 |
| Practice Fax Number | 6082448162 |
| Mailing Telephone | 6082444721 |
| Mailing Fax Number | 6082448162 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | JIM SANDERS (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 6082444721 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 70968030 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PROVIDER CERTIFICATION | 41868000 | 01 |
| Street Address |
1925 WINNEBAGO ST |
| City | MADISON |
| State | WI |
| Zip Code | 53704-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932372117 | James Richard Sanders | Counselor | 1925 Winnebago St, Madison, WI 53704-5314 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| 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 |
|---|---|---|---|---|
| 1871141366 | Boone Memorial Hospital, Inc. | Community/Behavioral Health | 467 Main St Ste 4, Madison, WV 25130-2200 | 2019-08-28 |
| 1154838399 | Leslie Smith Lpc LLC | Community/Behavioral Health | 650 Sun Temple Dr, Madison, AL 35758-8621 | 2018-01-09 |
| 1497268817 | Imagine A Childs Capacity LLC | Community/Behavioral Health | 128 E Olin Ave Ste 201, Madison, WI 53713-1467 | 2017-11-07 |
| 1316464191 | Shore Wellness Ct | Community/Behavioral Health | 85b Wall St, Madison, CT 06443-3121 | 2017-08-23 |
| 1407302532 | Aba Steps LLC | Community/Behavioral Health | 3 Niles Ave, Madison, NJ 07940-2310 | 2016-08-29 |
| 1245786680 | Michelle Ayres, Ms, Lmft | Community/Behavioral Health | 111 S 1st St # 103, Madison, WI 53704-5244 | 2016-08-26 |
| 1124471412 | Lifeworks Counseling | Community/Behavioral Health | 940 Ebenezer Blvd., Madison, MS 39110 | 2016-07-21 |
| 1184078628 | Bridgeway Counseling | Community/Behavioral Health | 540 Hughes Rd Ste 3, Madison, AL 35758-8959 | 2016-04-21 |
| 1588022206 | Moore Counseling Services | Community/Behavioral Health | 808 Nw 3rd St, Madison, SD 57042-2518 | 2016-02-09 |
| 1073988051 | Killebrew Psychological Services, LLC | Community/Behavioral Health | 133 Berry Ln, Madison, MS 39110-8616 | 2015-12-02 |
| Find all providers in MADISON | ||||
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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.