POLK COUNTY DEPARTMENT OF HUMAN SERVICES
NPI 1154707974
Community/Behavioral Health in Balsam Lake, WI

Q: What is Western Region Recovery & Wellness Consortia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 04, 2015CLIA 52D2117973 · Waiver

100 POLK COUNTY PLZ STE 50, BALSAM LAKE, WI 54810(715) 485-8400(715) 485-8490 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Polk County Department Of Human Services NPPES

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

POLK COUNTY DEPARTMENT OF HUMAN SERVICES (NPI 1154707974) is a healthcare organization registered as a community/behavioral health in Balsam Lake, Wisconsin and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Mary K Zachau, Fiscal Manager, as its authorized official.

NPPES Registry Identity

NPI1154707974

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameWESTERN REGION RECOVERY & WELLNESS CONSORTIA

Location Address100 POLK COUNTY PLZ STE 50Balsam Lake, WI 54810-9097

Mailing Address711 N Bridge St Rm 305Chippewa Falls, WI 54729-1845 · (715) 726-7787 · Fax (715) 726-7736

Phone(715) 485-8400

Fax(715) 485-8490

Organization SubpartNo

Authorized OfficialMary K ZachauFiscal Manager · (715) 726-7787

Enumeration DateAugust 4, 2015

✔ NPI 1154707974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in WI · 3065

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.

100 POLK COUNTY PLZ STE 50, Balsam Lake, WI 54810

Open in Google Maps ↗

Other Names 1

Other NamePolk County Department Of Human Services

Other Identifiers 1

Other3065WI · State Of Wisconsin Certification

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2117973

Polk County Department Of Children And Families · Balsam Lake, WI

Active · expires Aug 25, 2026

CLIA Number52D2117973

Laboratory TypeMobile Laboratory

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorMs. Jaime Weness

Laboratory Phone(715) 485-8400

Laboratory LocationPolk County Department Of Children And Families100 Polk County Plaza, Ste 50, Balsam Lake, WI 54810

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

GARY P EHRICH CSAC, ICS

Counselor (Addiction (Substance Use Disorder))

100 POLK COUNTY PLZ STE 50
BALSAM LAKE, WI 54810

Polk County (715) 485-8879

HEATHER CHRISTINE BONETTI MA, LPC

Counselor (Professional)

100 POLK COUNTY PLZ STE 50
BALSAM LAKE, WI 54810

Polk County (651) 208-5442

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 Western Region Recovery & Wellness Consortia's NPI number?

The NPI number for Western Region Recovery & Wellness Consortia is 1154707974. It was assigned to this organization in the NPPES registry on August 4, 2015. The provider is also known as Polk County Department Of Human Services.

Where is Western Region Recovery & Wellness Consortia located?

Western Region Recovery & Wellness Consortia is located at 100 Polk County Plz Ste 50, Balsam Lake, WI 54810. The listed phone number is (715) 485-8400.

What is Western Region Recovery & Wellness Consortia's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Western Region Recovery & Wellness Consortia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2117973) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Western Region Recovery & Wellness Consortia was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.