WILLOWGLEN ACADEMY-WISCONSIN, INC. (NPI# 1891935912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891935912 |
| Entity Type | Organization |
| Organization Name | WILLOWGLEN ACADEMY-WISCONSIN, INC. |
| Other Organization Name | HOWARD JANSEN LEARNING CENTER |
| Practice Address |
W1236 County Highway Ff Sheboygan WI 53083-5138 |
| Practice Telephone | 9205652607 |
| Mailing Telephone | 9205652607 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | MRS. SARA SANDEE (DIRECTOR OF RESIDENTIAL SERVICES) |
| Authorized Official Telephone | 4145276970 |
| Authorized Official Credential | MS |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX CARE SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Howard Jansen Learning Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669670477 | Willowglen Academy-wisconsin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Reed St, Plymouth, WI 53073-2506 | 2007-07-03 |
| 1598082729 | Willowglen Academy-wisconsin, Inc. | Community/Behavioral Health | 5151 W Silver Spring Dr, Milwaukee, WI 53218-3300 | 2010-04-28 |
| Street Address |
W1236 COUNTY HIGHWAY FF |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124351135 | Diane Kay Marmes | Registered Nurse | W1236 County Highway Ff, Sheboygan, WI 53083-5138 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| 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 |
|---|---|---|---|---|
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1770053696 | Kathy Hughes Counseling, LLC | Community/Behavioral Health | 630 Riverfront Dr Ste 203, Sheboygan, WI 53081 | 2018-12-04 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1447609029 | Sheboygan Comprehensive Treatment Center | Community/Behavioral Health | 2842 S Business Dr, Sheboygan, WI 53081-6518 | 2016-06-06 |
| 1639484942 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2010-08-11 |
| 1417124322 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2008-05-09 |
| 1508033416 | County of Sheboygan | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2008-05-09 |
| 1750508073 | Sheboygan County Health & Human Services | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2007-04-19 |
| 1326172594 | Sheboygan County Health & Human Services | Community/Behavioral Health | 1011 N 8th St, Sheboygan, WI 53081-4006 | 2007-03-16 |
| Find all providers in SHEBOYGAN | ||||
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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.