WESETERN REGION RECOVERY & WELLNESS CONSORTIA (NPI# 1255989612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255989612 |
| Entity Type | Organization |
| Organization Name | WESETERN REGION RECOVERY & WELLNESS CONSORTIA |
| Practice Address |
7410 County Road K Siren WI 54872-9043 |
| Mailing Address |
711 N Bridge St Rm 305 Chippewa Falls WI 54729-1845 |
| Practice Telephone | 7153497600 |
| Practice Fax Number | 7153492145 |
| Mailing Telephone | 7157267810 |
| Mailing Fax Number | 7157267736 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | MR. PAUL BRENNER (SENIOR FISCAL MANAGER) |
| Authorized Official Telephone | 7157267810 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE OF WISCONSIN CERTIFICATION | 3065 | 01 |
| Other Name | Type Code |
|---|---|
| County of Burnett | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083090187 | Wesetern Region Recovery & Wellness Consortia | Community/Behavioral Health | 740 7th Ave W, Durand, WI 54736-1628 | 2015-07-31 |
| Street Address |
7410 COUNTY ROAD K |
| City | SIREN |
| State | WI |
| Zip Code | 54872-9043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765125 | County of Burnett | Public Health or Welfare | 7410 County Road K, Suite 280, Siren, WI 54872-9070 | 2005-07-26 |
| 1215392758 | Jodi Reed | Registered Nurse | 7410 County Road K, Suite 280, Siren, WI 54872-9070 | 2015-12-29 |
| 1437394913 | County of Burnett | Community/Behavioral Health | 7410 County Road K, Suite 280, Siren, WI 54872-9070 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073989315 | Kristin L Barnes | Occupational Therapy Assistant | 7410 Co Hwy K, Siren, WI 54872 | 2015-08-20 |
| 1992113815 | In The Woods Apothecary | Pharmacy | 24106 State Rd 35, Siren, WI 54872 | 2014-07-23 |
| 1811137573 | Linda Slaikeu | Marriage & Family Therapist | 23758 State Rd 35, Siren, WI 54872 | 2009-02-20 |
| 1245405539 | Sarah L Busch | Counselor | 7670 Johnson Street, Siren, WI 54872 | 2008-04-28 |
| 1285760751 | Oak Park Dental Clinic | Clinic/Center | 24164 Highway 35-70, Siren, WI 54872 | 2007-02-26 |
| 1326113275 | Warren D Stouffer | Counselor | 24670 State Rd 35 70, Suite 1200 Aurora Community Counseling Employee Support, Siren, WI 54872 | 2006-11-22 |
| 1861464307 | April Dawn Svoboda Smith | Optometrist | 24082 State Road 35, Siren, WI 54872 | 2006-02-07 |
| 1659770113 | In The Woods Apothecary | Pharmacy | 24106 State Rd 35, Siren, WI 54872 | 2014-08-20 |
| 1063616571 | Siren Family Eyecare, LLC | Optometrist | 24082 State Road 35, Siren, WI 54872 | 2007-06-11 |
| 1578644639 | Hawkeye Enterprises LLC | Pharmacy | 24106 State Road 35, Siren, WI 54872-0000 | 2006-10-17 |
| Find all providers in zip 54872 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437394913 | County of Burnett | Community/Behavioral Health | 7410 County Road K, Suite 280, Siren, WI 54872-9070 | 2008-12-11 |
| 1902065501 | Aurora Communtiy Counseling Employee Support & Services, Inc. Dba: Acc | Community/Behavioral Health | 24670 State Road 35 70, Suite 1200, Siren, WI 54872-4418 | 2008-06-09 |
| 1629244082 | Aurora Community Counseling Employee Support and Services, Inc. | Community/Behavioral Health | 24670 State Road 35 70, Suite 1200, Siren, WI 54872-4418 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
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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.