JEFFERSON COUNTY HUMAN SERVICES-CRISIS INTERVENTION RENDERING PROVIDER
NPI 1689843831
Community/Behavioral Health in Jefferson, WI

NPI Status: Active since February 21, 2008

Contact Information

1541 ANNEX RD
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-3105
Fax: (920) 674-6113

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  • Organization
  • Community/Behavioral Health

About JEFFERSON COUNTY HUMAN SERVICES-CRISIS INTERVENTION RENDERING PROVIDER

This page provides the complete NPI Profile along with additional information for Jefferson County Human Services-crisis Intervention Rendering Provider, a provider established in Jefferson, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1689843831 assigned on February 2008. The practitioner's primary taxonomy code is 251S00000X with license number 1449 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Jefferson County Human Services-crisis Intervention Rendering Provider. The authorized official of this NPI record is Daniel Gebauer Cpa (Deputy Director)

NPI
1689843831
Provider Legal Name
JEFFERSON COUNTY
Other Organization Name
JEFFERSON COUNTY HUMAN SERVICES-CRISIS INTERVENTION RENDERING PROVIDER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1541 ANNEX RD JEFFERSON, WI 53549
Location Phone
(920) 674-3105
Location Fax
(920) 674-6113
Mailing Address
1541 ANNEX RD JEFFERSON, WI 53549
Mailing Phone
(920) 674-3105
Mailing Fax
(920) 674-6113
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-21-2008
Last Update Date
08-18-2008
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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.
1449
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.

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

DANIEL GEBAUER CPA

Authorized Official Title
DEPUTY DIRECTOR
Authorized Official Phone
(920) 674-3105

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
32980900MEDICAID (05)WI 

Reviews for JEFFERSON COUNTY HUMAN SERVICES-CRISIS INTERVENTION RENDERING PROVIDER

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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.
1689843831
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169164686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 6 + 4 + 6 + 8 + 6 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1689843831 is valid because the calculated check digit 1 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
1578562286JEFFERSON COUNTY
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1902919087DR. MELVIN A HAGGART MD
Individual
Psychiatry & Neurology (Psychiatry)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1295864957JEFFERSON COUNTY
Organization
Community/Behavioral Health1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1811135494JEFFERSON COUNTY
Organization
Public Health or Welfare1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-7275
1518196344 DENNIS R. RYAN LCSW, CSAC
Individual
Counselor (Addiction (Substance Use Disorder))1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8124
1669602413 KRISTA L DOERR LPC
Individual
Counselor (Professional)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8190
1487887188 SARAH MARIE LUDEKING MS, LPC
Individual
Counselor (Professional)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8117
1396052650 PAGE C CARRIVEAU
Individual
Speech-Language Pathologist1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8718
1679874754MRS. KIMBERLY JO PROPP LPC
Individual
Counselor (Professional)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8727
1518268002MS. SUSAN K GERSTNER
Individual
Social Worker (Clinical)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8117
1578793964MS. JENNIFER LYNN WENDT MA
Individual
Counselor (Professional)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8717
1245569524MS. HOLLY RAE PAGEL MSW
Individual
Social Worker (Clinical)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8108
1760783856 KELLY ANN NORTH LCSW
Individual
Social Worker (Clinical)1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8196
1619399953 JENNIFER MANTES
Individual
Speech-Language Pathologist1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8718
1457778904 SANDRA GABER BSW, CSW
Individual
Social Worker1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1497172977MISS APRIL ZAMZOW MA, CSW
Individual
Social Worker1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1962829028 ART LEAVENS
Individual
Social Worker1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8121
1215355219 DANIELLE GRAHAM - HEINE
Individual
Counselor1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105
1902224991 KAITLIN TOLLIVER
Individual
Social Worker1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-8162
1235559170 JENNIFER RHODES
Individual
Social Worker1541 ANNEX RD
JEFFERSON, WI 53549
(920) 674-3105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689843831, enumerated in the NPI registry as an "organization" on February 21, 2008

The provider is located at 1541 Annex Rd Jefferson, Wi 53549 and the phone number is (920) 674-3105

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 February 21, 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.