FAMILY SERVICES OF NORTHEAST WISCONSIN (NPI# 1194842880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194842880 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICES OF NORTHEAST WISCONSIN |
| Other Organization Name | FAMILY SERVICES - FOX VALLEY DAY TREATMENT |
| Practice Address |
626 S Irwin Ave Green Bay WI 54301-3304 |
| Mailing Address |
300 Crooks St Green Bay WI 54301-4527 |
| Practice Telephone | 9204333372 |
| Mailing Telephone | 9204366800 |
| Mailing Fax Number | 9204325966 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS MARTIN (PRESIDENT-CEO) |
| Authorized Official Telephone | 9204366800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 1332 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43002300 | 05 |
| Other Name | Type Code |
|---|---|
| Family Services - Fox Valley Day Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558519462 | Family Services of Northeast Wisconsin | Clinic/Center | 2945 Shawano Ave, Green Bay, WI 54313-6726 | 2008-09-04 |
| Street Address |
626 S IRWIN AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301414 | Jodi Ann Strebel-dahl | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2020-06-18 |
| 1346861556 | Kristin C Kouba | Social Worker | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2020-04-28 |
| 1083273627 | Brooke Daverveld | Social Worker | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2019-06-07 |
| 1457818429 | Lydia Jones | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2019-02-26 |
| 1053881607 | Paige M Dorn | Social Worker | 626 S Irwin Ave, Green Bay, WI 54301 | 2018-11-27 |
| 1821568437 | John R Cheslock | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2018-11-27 |
| 1942721105 | Jennifer J Marolt | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2017-06-28 |
| 1407377633 | Jenny M Bomber | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1609101179 | Improved Living Services, LLC | Case Management | 999 N Military Ave, Green Bay, WI 54303-4409 | 2009-10-16 |
| 1891142030 | Howe Community Resource Center | Case Management | 526 S Monroe Ave, Green Bay, WI 54301-4018 | 2016-05-18 |
| 1164889770 | Wing of Eagles Corp | Case Management | 217 N Madison St, Suite 4, Green Bay, WI 54301-5103 | 2016-01-27 |
| 1689908527 | Oneida Tribe of Indians of Wisconsin | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-24 |
| 1376877373 | Oneida Tribe of Indians | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-23 |
| 1154422400 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-26 |
| 1275633687 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
| 1053411025 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-22 |
| 1316043870 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-15 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.