COUNTRY KIDS INC.
NPI 1497851265
Clinic/Center - Developmental Disabilities in De Pere, WI

Q: What is Country Kids Inc.'s NPI number?

The NPI number for Country Kids Inc. is 1497851265. It was assigned to this organization in the NPPES registry on September 16, 2006.

Q: What is Country Kids Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Country Kids Inc. was last updated on August 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 16, 2006

1142 ORLANDO DR, DE PERE, WI 54115(920) 339-0700(920) 330-0278 Get Directions Write a Review

NPPES record last updated: August 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Country Kids Inc. NPPES

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

COUNTRY KIDS INC. (NPI 1497851265) is a healthcare organization registered as a developmental disabilities in De Pere, Wisconsin and active in the NPI registry since September 2006. The organization lists Lisa Kafka, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497851265

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameCOUNTRY KIDS INC.

Location Address1142 ORLANDO DRDe Pere, WI 54115-9484

Mailing Address1142 Orlando DrDe Pere, WI 54115-9484 · (920) 339-0700 · Fax (920) 330-0278

Phone(920) 339-0700

Fax(920) 330-0278

Organization SubpartNo

Authorized OfficialLisa KafkaExecutive Director · (920) 339-0700

Enumeration DateSeptember 16, 2006

Last NPPES UpdateAugust 28, 2008

✔ NPI 1497851265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedPhysical Therapy AssistantTaxonomy 225200000X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X

1142 ORLANDO DR, De Pere, WI 54115

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Other Identifiers 1

Medicaid41217200WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

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

KATHLEEN PHELPS MS, OTR/L

Occupational Therapist