COUNTRY KIDS INC.
NPI 1497851265
Clinic/Center - Developmental Disabilities in De Pere, WI
NPI Status: Active since September 16, 2006
Contact Information
1142 ORLANDO DR
DE PERE, WI
ZIP 54115
Phone: (920) 339-0700
Fax: (920) 330-0278
- Organization
- Clinic/Center
- Developmental Disabilities
- Accepts Insurance
About COUNTRY KIDS INC.
This page provides the complete NPI Profile along with additional information for Country Kids Inc., a provider established in De Pere, Wisconsin operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1497851265 assigned on September 2006. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Country Kids Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ms. Lisa Kafka Otr (Executive Director)
- NPI
- 1497851265
- Provider Name
- COUNTRY KIDS INC.
- Entity Type
- Organization
- Location Address
- 1142 ORLANDO DR DE PERE, WI 54115
- Location Phone
- (920) 339-0700
- Location Fax
- (920) 330-0278
- Mailing Address
- 1142 ORLANDO DR DE PERE, WI 54115
- Mailing Phone
- (920) 339-0700
- Mailing Fax
- (920) 330-0278
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2006
- Last Update Date
- 08-28-2008
- 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 Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 3 | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 4 | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | |
| 5 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 6 | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 7 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | |
| 8 | 261QH0700X | Ambulatory Health Care Facilities | Clinic/Center | |
| 9 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 10 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
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 |
|---|---|---|---|
| 41217200 | 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 | 4 | 9 | 7 | 8 | 5 | 1 | 2 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 16 | 5 | 2 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 1 + 6 + 5 + 2 + 2 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1497851265 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427033000 | CHELSEE L BIRKHOLZ OT Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1962528224 | LISA KAFKA OTR Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1477679686 | SARA SADLER SLP Individual | Speech-Language Pathologist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1376669655 | LISA STARK-JONES OTR Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1710003587 | AMY ANDERSON PT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1164548731 | CAROL KLAK OTR Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1861518425 | DIANE MCINNIS PT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1316063910 | KRISTIN ANDERSON-VORPAHL OTR, MPT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1801912423 | JILL BLAHA MPT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1902025422 | MS. BRENDA L FORSLUND SLP Individual | Speech-Language Pathologist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1639362585 | LISA LACOURSIERE PT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1740446194 | MOLLY COURTNEY MARKLAND OTR Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1386884690 | TAMRA SCHNEIDER PT Individual | Physical Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1821380122 | MRS. MICHELLE VANDEWETTERING Individual | Occupational Therapist (Pediatrics) | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1871847673 | LAURA Y GRIFFIN OTR Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1023429529 | KATHLEEN PHELPS MS, OTR/L Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1740683184 | AMY STIRK Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1578026126 | AMY MARTZAHL Individual | Occupational Therapy Assistant | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1730744707 | SAMANTHA BERGER COTA Individual | Occupational Therapy Assistant | 1142 ORLANDO DR DE PERE, WI 54115 (920) 339-0700 |
| 1851068001 | NICOLE BEHNKE OTR/L Individual | Occupational Therapist | 1142 ORLANDO DR DE PERE, WI 54115 (920) 330-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497851265, enumerated in the NPI registry as an "organization" on September 16, 2006
The provider is located at 1142 Orlando Dr De Pere, Wi 54115 and the phone number is (920) 339-0700
This medical organization specializes in Clinic/Center with taxonomy code 261QD1600X with a focus in Developmental Disabilities
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. 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 September 16, 2006. 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.