FAMILY SERVICES OF NEW
NPI 1275525925
Clinic/Center - Mental Health (Including Community Mental Health Center) in Menasha, WI
NPI Status: Active since August 18, 2005
Contact Information
1810 APPLETON RD
MENASHA, WI
ZIP 54952
Phone: (920) 739-4226
Fax: (920) 739-7639
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About FAMILY SERVICES OF NEW
This page provides the complete NPI Profile along with additional information for Family Services Of New, a provider established in Menasha, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1275525925 assigned on August 2005. The practitioner's primary taxonomy code is 261QM0801X with license number 1333 (WI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Family Services Of New. The authorized official of this NPI record is Mr. Thomas E Martin Lcsw (President / Ceo)
- NPI
- 1275525925
- Provider Legal Name
- FAMILY SERVICES OF NORTHEAST WISCONSIN INC
- Other Organization Name
- FAMILY SERVICES OF NEW
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1810 APPLETON RD MENASHA, WI 54952
- Location Phone
- (920) 739-4226
- Location Fax
- (920) 739-7639
- Mailing Address
- 1810 APPLETON RD MENASHA, WI 54952
- Mailing Phone
- (920) 739-4226
- Mailing Fax
- (920) 739-7639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2005
- Last Update Date
- 06-04-2009
- Code Navigator
Location Map
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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 1333
- License State
- WI
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.
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 |
|---|---|---|---|
| 000085206 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| 42222600 | MEDICAID (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. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 2 | 5 | 9 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 2 | 10 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 2 + 1 + 0 + 9 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1275525925 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1588960199 | KATHI DANKE LPC Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1053388983 | WILLARD J SECOR JR. MSW Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1134586779 | JAMES K DERCKS LPC Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1063889996 | KATHRYN EILEEN KEEFE-NEILSON MS ED, LPC Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1588141360 | BRANDON LEE FRANZKE MS, LPC Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1598381659 | GRETCHEN DOMINOWSKI LPC-IT, SAC-IT Individual | Counselor (Mental Health) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1366198004 | SARAH E KIMMES MSW APSW Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1912422155 | REBECCA STEVENS MA, LPC Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1275220196 | JOSEPH THOMAS HURLBURT MS, LPC-IT Individual | Counselor (Professional) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1063292951 | MEGAN E SEBO MSW, APSW, SAC-IT Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1245066539 | BAYLEY C LIND MSW, APSW Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1205649498 | CASSANDRA A CARLSON MSW, APSW Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
| 1114790086 | HEATHER MATTSON MSW, LCSW Individual | Social Worker (Clinical) | 1810 APPLETON RD MENASHA, WI 54952 (920) 739-4226 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275525925, enumerated in the NPI registry as an "organization" on August 18, 2005
The provider is located at 1810 Appleton Rd Menasha, Wi 54952 and the phone number is (920) 739-4226
This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)
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 August 18, 2005. 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].
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