ACCESS COMMUNITY THERAPIES LLC
Complete NPI Record 1144607169
Counselor - Professional in Grafton, WI
Active since April 28, 2015
Complete NPI Dataset
This page contains the complete raw NPPES record for Access Community Therapies Llc (NPI 1144607169), a counselor organization in Grafton, WI. All 46 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1144607169 Field 1/46
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/46
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/46
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: ACCESS COMMUNITY THERAPIES LLC Field 4/46
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/46
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/46
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 1245 CHEYENNE AVE Field 7/46
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: SUITE 200 Field 8/46
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: GRAFTON Field 9/46
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: WI Field 10/46
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 530249323 Field 11/46
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/46
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2622331818 Field 13/46
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 4144218681 Field 14/46
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 1245 CHEYENNE AVE Field 15/46
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 200 Field 16/46
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: GRAFTON Field 17/46
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: WI Field 18/46
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 530249323 Field 19/46
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 20/46
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2622331818 Field 21/46
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 4144218681 Field 22/46
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: FANCHER Field 25/46
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: CHARITY Field 26/46
- The first name of the authorized official.
- Authorized Official Middle Name: DAWN Field 27/46
- The middle name of the authorized official.
- Authorized Official Title or Position: OPERATIONS ADMIN Field 28/46
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7158429500 Field 29/46
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 103T00000X Field 30/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 31/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 103TC0700X Field 32/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 33/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 104100000X Field 34/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 35/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 1041C0700X Field 36/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: N Field 37/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 5: 101YP2500X Field 38/46
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 5: Y Field 39/46
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 40/46
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 41/46
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 42/46
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP Field 43/46
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP Field 44/46
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
- Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP Field 45/46
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Ozaukee Community Therapies LLC Former Legal Business Name
Name 1/1Former Legal Business Name: A previous registered legal name once used by an organization that has since been changed or retired.
Secondary Practice Locations 22
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
703 N 9th St
Location 1/22Sheboygan, WI 53081-4515 · Phone (715) 842-9500 · Fax (715) 848-0425
9573 Hwy 70
Location 2/22Minocqua, WI 54548-9000 · Phone (715) 842-9500
222 Stafford St
Location 3/22Plymouth, WI 53073-1839 · Phone (715) 842-9500
321 N 2nd St
Location 4/22Cedar Grove, WI 53013-1641 · Phone (715) 842-9500
401 Highland Dr
Location 5/22Fredonia, WI 53021-9491 · Phone (715) 842-9500
251 E Maple St
Location 6/22Elkhart Lake, WI 53020-1975 · Phone (715) 842-9500
125 S Highland Ave
Location 7/22Plymouth, WI 53073-2566 · Phone (715) 842-9500
427 W Jackson St
Location 8/22Port Washington, WI 53074-1811 · Phone (715) 842-9500
203 N 7th St
Location 9/22Oostburg, WI 53070-1270 · Phone (715) 842-9500
2899 State Highway 47 S
Location 10/22Lac Du Flambeau, WI 54538-9769 · Phone (715) 842-9500
1 Alfred Miley Ave
Location 11/22Sheboygan Falls, WI 53085-1200 · Phone (715) 842-9500
220 Amherst Ave
Location 12/22Sheboygan Falls, WI 53085-1735 · Phone (715) 842-9500
730 County Highway Ppp
Location 13/22Sheboygan Falls, WI 53085-1864 · Phone (715) 842-9500
300 Salem Dr
Location 14/22Plymouth, WI 53073-2050 · Phone (715) 842-9500
500 Parkview Dr
Location 15/22Plymouth, WI 53073-1552 · Phone (715) 842-9500
411 S Highland Ave
Location 16/22Plymouth, WI 53073-2534 · Phone (715) 842-9500
2 Alfred Miley Ave
Location 17/22Sheboygan Falls, WI 53085-1200 · Phone (715) 842-9500
101 S Gammon Rd
Location 18/22Madison, WI 53717-1403 · Phone (715) 842-9500
410 New York Ave
Location 19/22Oostburg, WI 53070-1229 · Phone (715) 842-9500
300 Riverside Cir
Location 20/22Plymouth, WI 53073-1247 · Phone (715) 842-9500
1403 N Holden St
Location 21/22Port Washington, WI 53074-1243 · Phone (715) 842-9500
408 New York Ave
Location 22/22Oostburg, WI 53070-1229 · Phone (715) 842-9500
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