JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH
NPI 1275614919
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jefferson, WI

NPI Status: Active since October 18, 2006

Contact Information

1541 ANNEX RD
JEFFERSON, WI
ZIP 53549
Phone: (920) 674-3105
Fax: (920) 674-6113

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...
  • Accepts Insurance

About JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Jefferson County Human Service Dept-mental Health, a provider established in Jefferson, Wisconsin operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1275614919 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0801X with license number 1449 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Jefferson County Human Service Dept-mental Health. The authorized official of this NPI record is Brian Bellford Cpa (Deputy Director)

NPI
1275614919
Provider Legal Name
JEFFERSON COUNTY
Other Organization Name
JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1541 ANNEX RD JEFFERSON, WI 53549
Location Phone
(920) 674-3105
Location Fax
(920) 674-6113
Mailing Address
1541 ANNEX RD JEFFERSON, WI 53549
Mailing Phone
(920) 674-3105
Mailing Fax
(920) 674-6113
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-18-2006
Last Update Date
09-12-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
1449
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Essentia Choice Care with Medica Bronze Share - EPO
  • Essentia Choice Care with Medica Expanded Bronze Standard - EPO
  • Essentia Choice Care with Medica Gold $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Gold Share - EPO
  • Essentia Choice Care with Medica Gold Standard - EPO
  • Essentia Choice Care with Medica Silver $0 Copay PCP Visits - EPO
  • Essentia Choice Care with Medica Silver Share - EPO
  • Essentia Choice Care with Medica Silver Standard - EPO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN BELLFORD CPA

Authorized Official Title
DEPUTY DIRECTOR
Authorized Official Phone
(920) 674-8147

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42138100MEDICAID (05)WI 

Reviews for JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275614919, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 2 + 1 + 8 + 9 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275614919.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1541 ANNEX RD
JEFFERSON, WI 53549
Psychiatry & Neurology (Psychiatry)
1541 ANNEX RD
JEFFERSON, WI 53549
Community/Behavioral Health
1541 ANNEX RD
JEFFERSON, WI 53549
Community/Behavioral Health
1541 ANNEX RD
JEFFERSON, WI 53549
Public Health or Welfare
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Addiction (Substance Use Disorder))
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker (Clinical)
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor (Professional)
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker (Clinical)
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker (Clinical)
1541 ANNEX RD
JEFFERSON, WI 53549
Speech-Language Pathologist
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Counselor
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549
Social Worker
1541 ANNEX RD
JEFFERSON, WI 53549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275614919, enumerated as an "organization" on October 18, 2006.

The provider is located at 1541 ANNEX RD JEFFERSON, WI 53549 and the phone number is (920) 674-3105.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica, Quartz,. Please consult your insurance carrier or call the provider to verify.