FOND DU LAC CO DCP CCS PROGRAM
NPI 1255454047
Community/Behavioral Health in Fond Du Lac, WI

NPI Status: Active since April 09, 2007

Contact Information

459 E 1ST ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-3500

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  • Organization
  • Community/Behavioral Health

About FOND DU LAC CO DCP CCS PROGRAM

This page provides the complete NPI Profile along with additional information for Fond Du Lac Co Dcp Ccs Program, a provider established in Fond Du Lac, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1255454047 assigned on April 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mary Ellen Mcmeen (Director-mental Health & Aoda)

NPI
1255454047
Provider Name
FOND DU LAC CO DCP CCS PROGRAM
Entity Type
Organization
Location Address
459 E 1ST ST FOND DU LAC, WI 54935
Location Phone
(920) 929-3500
Mailing Address
459 E 1ST ST FOND DU LAC, WI 54935
Mailing Phone
(920) 929-3500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY ELLEN MCMEEN

Authorized Official Title
DIRECTOR-MENTAL HEALTH & AODA
Authorized Official Phone
(920) 929-3500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
41763000MEDICAID (05)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255454047
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210585808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 5 + 8 + 0 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255454047 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053458935FOND DU LAC COUNTY
Organization
Community/Behavioral Health459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3500
1215152541 RONALD KLATT
Individual
Counselor459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-7042
1710102041 LUANNE LAIB
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3794
1457576829 PAMELA GREMMINGER
Individual
Licensed Practical Nurse459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3537
1285859678 JOSEPH HANEY PSY.D.
Individual
Psychologist459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3527
1174748495 KATHRYN KEDINGER
Individual
Registered Nurse459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3530
1013132422 JEANNE HELLMAN
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-7042
1518182856 MARY JANE LEU
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3549
1578788436 JUNE STAEHLER
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3551
1346465366 MARY ELLEN MCMEEN
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3548
1417172487 GERI RETTLER
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-7052
1639394497 DIANE FETT
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-6891
1396960340 KRISTINE NEHRING PSY.D.
Individual
Psychologist459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3556
1194940130 JAGADEESWARA RAO MUSUNURU M.D.
Individual
Psychiatry & Neurology (Psychiatry)459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3502
1558586412 DEBORAH ANN SERWE
Individual
Registered Nurse459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-6823
1023233871 KATHLEEN ARPKE
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(929) 906-5131
1265658181 MARY JO RYAN
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 906-5130
1558587485 JOANNE SCHNEIDER
Individual
Social Worker459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-3497
1285850198 HEATHER REILLEY
Individual
Case Manager/Care Coordinator459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-0163
1952527897 ANN STEFFEN
Individual
Case Manager/Care Coordinator459 E 1ST ST
FOND DU LAC, WI 54935
(920) 929-7617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255454047, enumerated in the NPI registry as an "organization" on April 09, 2007

The provider is located at 459 E 1st St Fond Du Lac, Wi 54935 and the phone number is (920) 929-3500

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.