FOND DU LAC COUNTY
NPI 1053458935
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fond Du Lac, WI
About Fond Du Lac County NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOND DU LAC COUNTY (NPI 1053458935), doing business as Department Of Human Services Clinical Services, is a healthcare organization registered as a mental health (including community mental health center) in Fond Du Lac, Wisconsin and active in the NPI registry since January 2007. The organization lists Lori Rozell, Business Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fond Du Lac County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Fond Du Lac County, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fond Du Lac County's NPI number?
The NPI number for Fond Du Lac County is 1053458935. It was assigned to this organization in the NPPES registry on January 31, 2007. The provider is doing business as Department of Human Services Clinical Services and Fond du Lac County Department of Community Programs.
Where is Fond Du Lac County located?
Fond Du Lac County is located at 459 E 1st St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-3500.
What is Fond Du Lac County's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Fond Du Lac County enrolled in Medicare?
Yes. Fond Du Lac County is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fond Du Lac County?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Fond Du Lac County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (4), Nurse Practitioner (3) and Clinical Psychologist (2). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fond Du Lac County accept?
Health plans from Anthem Blue Cross and Blue Shield list Fond Du Lac County as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fond Du Lac County was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fond Du Lac County · NPI 1053458935
Mental Health (Including Community Mental Health Center) organization in Fond Du Lac, Wisconsin. Organization record, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1053458935 (Entity type: Organization)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Also known as:** Department of Human Services Clinical Services (Doing Business As); Fond du Lac County Department of Community Programs (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lori Rozell, BUSINESS OPERATIONS MANAGER
## Practice location
- **Address:** 459 E 1ST ST, Fond Du Lac, WI 54935-4505
- **Phone:** (920) 929-3500 · **Fax:** (920) 929-3129
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Nurse Practitioner (3), Clinical Psychologist (2); 8 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2025
- **Other identifiers:** Medicaid 42121200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053458935) · Data from the CMS NPPES public registry.