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

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: July 26, 2026.

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
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

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.

Counselor (Addiction (Substance Use Disorder))
100 POLK COUNTY PLZ STE 50
BALSAM LAKE, WI 54810
Counselor (Professional)
100 POLK COUNTY PLZ STE 50
BALSAM LAKE, WI 54810

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 with the weekly NPPES data releases published by CMS.