SHAWANO COUNTY DEPT OF HUMAN SERVICES -LAKELAND CENTER CSP SVCS
NPI 1558528729
Community/Behavioral Health in Shawano, WI
NPI Status: Active since May 16, 2008
Contact Information
504 LAKELAND RD
SHAWANO, WI
ZIP 54166
Phone: (715) 526-4700
Fax: (715) 526-5542
- Organization
- Community/Behavioral Health
- Accepts Insurance
- CLIA Number: 52D2163161
- CLIA Cert. Type: Other - COUNTY HUMAN SERVICES
- CLIA Exp. Date: 03-07-2025
About SHAWANO COUNTY DEPT OF HUMAN SERVICES -LAKELAND CENTER CSP SVCS
This page provides the complete NPI Profile along with additional information for Shawano County Dept Of Human Services -lakeland Center Csp Svcs, a provider established in Shawano, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1558528729 assigned on May 2008. The practitioner's primary taxonomy code is 251S00000X with license number 2242 (WI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Shawano County Dept Of Human Services -lakeland Center Csp Svcs. The authorized official of this NPI record is Mr. Richard Kane (Director)
- NPI
- 1558528729
- Provider Legal Name
- COUNTY OF SHAWANO
- Other Organization Name
- SHAWANO COUNTY DEPT OF HUMAN SERVICES -LAKELAND CENTER CSP SVCS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 504 LAKELAND RD SHAWANO, WI 54166
- Location Phone
- (715) 526-4700
- Location Fax
- (715) 526-5542
- Mailing Address
- 504 LAKELAND RD SHAWANO, WI 54166
- Mailing Phone
- (715) 526-4700
- Mailing Fax
- (715) 526-5542
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2008
- Last Update Date
- 01-23-2015
- 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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 2242
- License State
- WI
- 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.
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 | 251S00000X | Agencies | Community/Behavioral Health | 1831 (WI) |
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 |
|---|---|---|---|
| 43425800 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2163161
- Facility Type
- Other - COUNTY HUMAN SERVICES
- Certificate Effective Date
- March 08, 2023
- Certificate Expiration Date
- March 07, 2025
- Laboratory Director
- MR. RICK KANE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shawano County Dept Of Human Services -lakeland Center Csp Svcs to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SHAWANO COUNTY DEPT OF HUMAN SERVICES -LAKELAND CENTER CSP SVCS
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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 | 5 | 5 | 8 | 5 | 2 | 8 | 7 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 10 | 2 | 16 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 0 + 2 + 1 + 6 + 7 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1558528729 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1992894224 | JOANN W LISKA MSW LCSW SAC CCS Individual | Counselor (Addiction (Substance Use Disorder)) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1497896641 | COUNTY OF SHAWANO Organization | Community/Behavioral Health | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1568657195 | MICHELLE A GRIMM M.ED Individual | Counselor (Professional) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1629263645 | STEPHEN J KRAWIEC PH.D. Individual | Psychologist | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1689848764 | MRS. PATRICIA FULLER OTR Individual | Occupational Therapist (Pediatrics) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1902072762 | MRS. KELLY MARIE BUESCHEL M.S., LPC Individual | Counselor (Professional) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1306003587 | SHAWANO COUNTY DEPARTMENT OF COMMUNITY PROGRAM Organization | Community/Behavioral Health | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1558521187 | SHANNON JEAN SCHMIDT MSSW Individual | Social Worker | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1417117045 | TERESA DEWEY MS Individual | Social Worker | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1568623510 | MRS. ELIZABETH A BARTZ MS Individual | Counselor (Professional) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1770744419 | MRS. JESSICA BETH DELZER MS Individual | Counselor (Mental Health) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1366604357 | MS. JANE LAURIE COLEMAN MSE,LPC Individual | Counselor (Professional) | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1164688412 | GARY KOMP B.S. Individual | Social Worker | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1033415955 | JULIE T SCHROEDER B.S. Individual | Social Worker | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1366749558 | MICHAEL MATTES Individual | Case Manager/Care Coordinator | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1407154511 | MS. REBECCA A EGAN MSE Individual | Counselor | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1225318116 | MS. MARY KATHLEEN HILTGEN RN Individual | Registered Nurse | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1790066926 | GENE ANTHONY STUBER Individual | Rehabilitation Counselor | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1992086128 | KELLY E ROGERS C.O.T.A. Individual | Occupational Therapy Assistant | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
| 1235487125 | MS. KATRINA MARIE PIERSON Individual | Case Manager/Care Coordinator | 504 LAKELAND RD SHAWANO, WI 54166 (715) 526-5547 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558528729, enumerated in the NPI registry as an "organization" on May 16, 2008
The provider is located at 504 Lakeland Rd Shawano, Wi 54166 and the phone number is (715) 526-4700
This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X
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.
The provider's CLIA number is 52D2163161 for a "other - county human services" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 16, 2008. 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.