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KEWAUNEE CO DEPT HUMAN SERVICES
NPI 1366431173
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kewaunee, WI

Active since October 14, 2005
810 LINCOLN STREET, KEWAUNEE, WI 54216(920) 388-7030(920) 388-7044 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2023, Sep 16, 2017 (2 updates tracked since 2017).

About Kewaunee Co Dept Human Services NPPES

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

KEWAUNEE CO DEPT HUMAN SERVICES (NPI 1366431173) is a healthcare organization registered as a mental health (including community mental health center) in Kewaunee, Wisconsin and active in the NPI registry since October 2005. The organization lists Melissa M Annoye, Director, as its authorized official.

NPPES Registry Identity

NPI1366431173
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF KEWAUNEE
Location Address810 LINCOLN STREETKewaunee, WI 54216-1140
Mailing Address810 Lincoln StreetKewaunee, WI 54216-1140 · (920) 388-7030 · Fax (920) 388-7044
Phone(920) 388-7030
Fax(920) 388-7044
Organization SubpartNo
Authorized OfficialMelissa M AnnoyeDirector · (920) 388-7030
Enumeration DateOctober 14, 2005
Last NPPES UpdateMay 18, 20232 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1366431173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 1466
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 2288 (WI)
810 LINCOLN STREET, Kewaunee, WI 54216
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Other Names 1

Doing Business AsKewaunee Co Dept Human Services

Other Identifiers 6

Medicaid43423600WI
Other32979271WI · Ma Crisis Intervention
Other41225200WI · Ma Pt Ot
Medicaid42140100WI
Other42551900WI · Ma St
Medicaid43073100WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kewaunee Co Dept Human Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Kewaunee Co Dept Human Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Jacob Kumpfer, LMFT-IT
Marriage and Family Therapist
NPI 1619497344
810 LINCOLN ST
Kewaunee, WI 54216
(920) 388-7030
✔ PECOSSame address
Stephen Shopbell, MD
Psychiatry
NPI 1326032335
500 S OAKWOOD RD
Oshkosh, WI 54904
(920) 223-3530
✔ PECOS✔ Accepts Medicare62 mi
Michael Eis, PHD, M.D.
Psychiatry
NPI 1689653214
N91W17271 APPLETON AVE SUITE 1
Menomonee Falls, WI 53051
(262) 502-3300
✔ PECOS✔ Accepts Medicare93 mi
Kenneth Downing, PH.D.
Clinical Psychologist
NPI 1508877614
701 P ST STE. 305
Lincoln, NE 68508
(402) 420-6621
✔ PECOS531 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Kewaunee's NPI number?

The NPI number for County Of Kewaunee is 1366431173. It was assigned to this organization in the NPPES registry on October 14, 2005. The provider is doing business as Kewaunee Co Dept Human Services.

Where is County Of Kewaunee located?

County Of Kewaunee is located at 810 Lincoln Street, Kewaunee, WI 54216. The listed phone number is (920) 388-7030.

What is County Of Kewaunee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is County Of Kewaunee enrolled in Medicare?

Yes. County Of Kewaunee is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Kewaunee?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to County Of Kewaunee, in Clinical Psychologist, Marriage and Family Therapist and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Kewaunee accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Dean Health Plan list County Of Kewaunee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for County Of Kewaunee was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.