INTEGRATED COUNSELING CENTER LLC
NPI 1104053701
Social Worker - Clinical in Fond Du Lac, WI

Active since June 22, 2009
N6687 WRIGHTWAY DR STE D, FOND DU LAC, WI 54937(920) 929-9140(920) 929-9142 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED COUNSELING CENTER LLC (NPI 1104053701) is a healthcare organization registered as a clinical in Fond Du Lac, Wisconsin and active in the NPI registry since June 2009. The organization lists Rosonna Sue Comers, Owner, as its authorized official.

NPPES Registry Identity

NPI1104053701
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTEGRATED COUNSELING CENTER LLC
Location AddressN6687 WRIGHTWAY DR STE DFond Du Lac, WI 54937-8433
Mailing AddressN6687 Wrightway Dr Ste DFond Du Lac, WI 54937-8433 · (920) 929-9140 · Fax (920) 929-9142
Fax(920) 929-9142
Organization SubpartNo
Authorized OfficialRosonna Sue ComersOwner · (920) 929-9140
Enumeration DateJune 22, 2009
NPI 1104053701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in WI · 7003-123 Licensed in WI · 7209-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 29-036 (WI)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2270-057 (WI)
N6687 WRIGHTWAY DR STE D, Fond Du Lac, WI 54937

Other Identifiers 1

Medicaid422-43800WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
N6687 WRIGHTWAY DR STE D
FOND DU LAC, WI 54937

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 Integrated Counseling Center LLC's NPI number?

The NPI number for Integrated Counseling Center LLC is 1104053701. It was assigned to this organization in the NPPES registry on June 22, 2009.

Where is Integrated Counseling Center LLC located?

Integrated Counseling Center LLC is located at N6687 Wrightway Dr Ste D, Fond Du Lac, WI 54937. The listed phone number is (920) 929-9140.

What is Integrated Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Integrated Counseling Center LLC was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.