JANESVILLE COMMUNITY SUPPORT PROGRAM (NPI# 1407029879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407029879 |
| Entity Type | Organization |
| Organization Name | JANESVILLE COMMUNITY SUPPORT PROGRAM |
| Practice Address |
35 S Main St Janesville WI 53545-3922 |
| Practice Telephone | 6087575566 |
| Mailing Telephone | 6087575566 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | MICHAEL B JONES (ADMINISTRATIVE SERVICES MANAGER) |
| Authorized Official Telephone | 6087575204 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROCK COUNTY HUMAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43420100 | 05 |
| Street Address |
35 S MAIN ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53545-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457524860 | County of Rock County Clerk | Community/Behavioral Health | 35 S Main St, Janesville, WI 53545-3922 | 2008-04-07 |
| 1275714578 | Virgil H Parker | Registered Nurse | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-15 |
| 1790966091 | Ryan L Nedbalek | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-15 |
| 1093996464 | Kaj U Anderson | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-14 |
| 1720269103 | Jill A Housker | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-14 |
| 1497935100 | Nadine M Westby | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-09 |
| 1134309925 | Nancy A Story | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-08 |
| 1750561908 | Peter A Johnson | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-05 |
| 1255510517 | Brenda K Lewis | Social Worker | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-02 |
| 1548449820 | Sheryl M Gensler | Registered Nurse | 35 S Main St, Janesville, WI 53545-3922 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1730601295 | Selma Mohammedi | Dentist | 1260 Milton Ave Ste 140-150, Janesville, WI 53545 | 2017-07-16 |
| 1205357472 | Andrea Jayne Thompson | Physical Therapist | 3418 N Parker Dr., Janesville, WI 53545 | 2017-06-28 |
| 1639549983 | Sylvia Andrus | Physical Therapy Assistant | 3400 N Country Highway F, Janesville, WI 53545 | 2015-09-30 |
| 1518372564 | Kimberly Ann Bishop | Registered Nurse | 32 E. Racine Street, Suite 150, Janesville, WI 53545 | 2014-06-29 |
| 1679998314 | Quirt Family Dentistry | Dentist | 2201 Humes Road Suite 150, Janesville, WI 53545 | 2014-03-04 |
| 1104163740 | Sarah J Fredricks | Licensed Practical Nurse | 1406 Holiday Drive, Janesville, WI 53545 | 2013-01-15 |
| 1659629335 | Parvin Mesbah | Pharmacist | 2017 Old Humes Road, T-0809, Janesville, WI 53545 | 2012-08-28 |
| 1962797118 | Tiffany Schmidt | Pharmacist | 2017 Humes Road, T-0809, Janesv Ille, WI 53545 | 2011-06-16 |
| 1174817795 | Megan Steiner | Dentist | 1504 Creston Park Drive, Janesville, WI 53545 | 2011-05-31 |
| Find all providers in zip 53545 | ||||
| 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 |
|---|---|---|---|---|
| 1598149403 | Janesville Psychiatric Clinic of Main | Community/Behavioral Health | 2010 Parkside Dr, Janesville, WI 53548-6613 | 2015-07-10 |
| 1124434816 | County of Rock County Clerk | Community/Behavioral Health | 3530 N Parker Dr, Janesville, WI 53545-0766 | 2014-07-02 |
| 1881849016 | Acs Clinical Services LLC | Community/Behavioral Health | 303 W Court St, Janesville, WI 53548-3811 | 2008-12-02 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1427221837 | Rock County Human Services Long Term Support | Community/Behavioral Health | 1900 Center Ave, Janesville, WI 53546-2801 | 2008-04-07 |
| 1366641250 | Drk Innovations | Community/Behavioral Health | 121 N Jackson St, Janesville, WI 53548-2929 | 2007-07-12 |
| 1275693178 | County of Rock | Community/Behavioral Health | 3530 N Cty Trk F, Janesville, WI 53547-0726 | 2006-12-11 |
| 1609027887 | Catholic Charities, Inc. Roman Catholic Diocese | Community/Behavioral Health | 2020 E Milwaukee St, #9, Janesville, WI 53545-2600 | 2008-10-06 |
| 1700050416 | County of Rock County Clerk | Community/Behavioral Health | 3506 N Us Highway 51, Janesville, WI 53545-0726 | 2008-04-15 |
| 1174796114 | Crisis Intervention Unit | Community/Behavioral Health | 3530 N County Rd E # F, Janesville, WI 53548-9074 | 2008-04-10 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53545 |
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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.