IRIS HEALTH CLINIC
NPI 1942735766
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waukesha, WI
NPI Status: Active since April 30, 2017
Contact Information
255 W BROADWAY
WAUKESHA, WI
ZIP 53186
Phone: (262) 420-9088
Fax: (262) 458-4102
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
- CLIA Number: 52D2161784
- CLIA Cert. Type: Other - RESIDENTIAL SUD
- CLIA Exp. Date: 02-10-2027
About IRIS HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Iris Health Clinic, a provider established in Waukesha, 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 1942735766 assigned on April 2017. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Iris Health Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Iris Health Clinic. The authorized official of this NPI record is Peter Brunzelle (Executive Director)
- NPI
- 1942735766
- Provider Legal Name
- IRIS HEALTH CLINIC
- Other Organization Name
- IRIS HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 255 W BROADWAY WAUKESHA, WI 53186
- Location Phone
- (262) 420-9088
- Location Fax
- (262) 458-4102
- Mailing Address
- 255 W BROADWAY WAUKESHA, WI 53186
- Mailing Phone
- (262) 420-9088
- Mailing Fax
- (262) 458-4102
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-30-2017
- Last Update Date
- 05-22-2023
- 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
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 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | |
| 6 | 291U00000X | Laboratories | Clinical Medical Laboratory |
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 Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- 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 Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Prestige Bronze Essential + 3 Free PCP Visits - HMO
- Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Bronze Plus - HMO
- Prestige Gold - HMO
- Prestige Gold 50 + 1 Free PCP Visit - HMO
- Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
- Prestige Gold Essential + 3Free PCP Visits - HMO
- Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
- Prestige Silver - HMO
- Prestige Silver Essential + 3 Free PCP Visits - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 52D2161784
- Facility Type
- Other - RESIDENTIAL SUD
- Certificate Effective Date
- February 11, 2025
- Certificate Expiration Date
- February 10, 2027
- Laboratory Director
- MR. PETER T. BRUNZELLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Iris Health Clinic 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.
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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 | 9 | 4 | 2 | 7 | 3 | 5 | 7 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 14 | 3 | 10 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 1 + 4 + 3 + 1 + 0 + 7 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1942735766 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1316520182 | JOSEPH MCKENZIE SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1073188793 | MELODY WILLIAMS SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1558015206 | EVALYN KATE SHULFER SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1922751569 | CHRISTINA ETTINGER CSAC, ICS Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1497402762 | LESLIE FENNINGER SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1174247910 | DIANE WEBB SAC Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1841917374 | ALTA HERPEL Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1225747520 | ERIC HALL SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1649976440 | ALISSA OWEN SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1184318818 | AMY MAGER SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1871287516 | CHRISTOPHER KASUN SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1316725203 | KARI RUMMEL MCLAUGHLIN SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1427812502 | JILL ROEHL SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1598788473 | MS. SHERYL ANNE MARTIN BS CSAC Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1790536647 | PATRICK LONERGAN SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1700623527 | AMY LAEDTKE SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1639934649 | JESSICA PAGET MS Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (414) 207-8660 |
| 1205646171 | JENNIFER GIBBS SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1285496588 | MORGAN TONNER LPC Individual | Counselor (Professional) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
| 1487453973 | SERENA BLANCHETTE SAC-IT Individual | Counselor (Addiction (Substance Use Disorder)) | 255 W BROADWAY WAUKESHA, WI 53186 (262) 420-9088 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942735766, enumerated in the NPI registry as an "organization" on April 30, 2017
The provider is located at 255 W Broadway Waukesha, Wi 53186 and the phone number is (262) 420-9088
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: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D2161784 for a "other - residential sud" 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 April 30, 2017. 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.