STATELINE MENTAL HEALTH SERVICES
NPI 1538560255
Clinic/Center - Mental Health (Including Community Mental Health Center) in Beloit, WI

NPI Status: Active since September 12, 2014

Contact Information

540 E GRAND AVE
BELOIT, WI
ZIP 53511
Phone: (608) 368-8087

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

About STATELINE MENTAL HEALTH SERVICES

Stateline Mental Health Services is a provider established in Beloit, Wisconsin operating as a Clinic/center with a focus in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1538560255 assigned on September 2014. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Stephanie Knueppel Lpc (Psychotherapist)

NPI
1538560255
Provider Name
STATELINE MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
540 E GRAND AVE BELOIT, WI 53511
Location Phone
(608) 368-8087
Mailing Address
2745 FAWN CT BELOIT, WI 53511
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
09-12-2014
Last Update Date
03-14-2017
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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

Insurance Plans Accepted

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

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Blue Preferred/Broad 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
    • Anthem Bronze Blue Preferred/Broad 0% for HSA - POS
    • Anthem Bronze Blue Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
    • Anthem Bronze Blue Preferred/Broad 7500/50% Standard - POS
    • Anthem Bronze Blue Preferred/Broad 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
    • Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
    • Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
    • Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Gold Blue Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
    • Anthem Gold Blue Preferred/Broad 1500/25% Standard - POS
    • Anthem Gold Blue Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Gold Blue Priority/Lean 1500/25% Standard - HMO
    • Anthem Silver Blue Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • MercyCare Health Plans

    • MercyCare HMO Bronze Option B - HMO
    • MercyCare HMO Bronze Standard Expanded - HMO
    • MercyCare HMO Gold Option B - HMO
    • MercyCare HMO Gold Standard - HMO
    • MercyCare HMO Silver Option A - HMO
    • MercyCare HMO Silver Option B - HMO
    • MercyCare HMO Silver Standard - HMO
  • Quartz

    • QUARTZ ONE BRONZE I201 VALUE TIER RX - HMO
    • Quartz One Bronze I201 Value Tier Rx w/Fixed Copay - IL - HMO
    • QUARTZ ONE BRONZE I203 HSA - HMO
    • Quartz One Bronze I203 HSA - IL - HMO
    • QUARTZ ONE BRONZE I204 VALUE TIER RX - HMO
    • Quartz One Bronze I204 Value Tier Rx - IL - HMO
    • QUARTZ ONE BRONZE I204 VALUE TIER RX W/DENTAL - HMO
    • Quartz One Bronze I204 Value Tier Rx w/Dental - IL - HMO
    • QUARTZ ONE BRONZE I205 VALUE TIER RX - HMO
    • Quartz One Bronze I205 Value Tier Rx - IL - HMO
    • QUARTZ ONE BRONZE I205 VALUE TIER RX W/DENTAL - HMO
    • Quartz One Bronze I205 Value Tier Rx w/Dental - IL - HMO
    • QUARTZ ONE BRONZE I206 STANDARD - HMO
    • Quartz One Bronze I206 Standard - IL - HMO
    • QUARTZ ONE CATASTROPHIC I101 - HMO

*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

STEPHANIE KNUEPPEL LPC

Authorized Official Title
PSYCHOTHERAPIST
Authorized Official Phone
(608) 217-7264

Reviews for STATELINE MENTAL HEALTH SERVICES

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1538560255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25681060210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 6 + 8 + 1 + 0 + 6 + 0 + 2 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1538560255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780976647BELOIT FAMILY EYE CARE S.C.
Organization
Optometrist540 E GRAND AVE
BELOIT, WI 53511
(608) 365-8575
1033376090DR. DOUGLAS EDWARD KELLEY OD
Individual
Optometrist540 E GRAND AVE
BELOIT, WI 53511
(608) 365-8575
1821510595 JENNIFFER BEU LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1740704287 MELONY DAWN WALSH MS ED, LPC-IT
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1407401771 AMBERLY JEAN MIXON APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1982986261 STEPHANIE SISSON
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1396376851 NICOLETTE ANN MILLER LCSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1407345903 BRIELLE EVELYN POWERS MSW, APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1568853091 DAVID FISCHER LCSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1740896885MS. TAYLOR LEIBFRIED
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1396413944 SABRINA MEICHTRY APSW
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1679241228 KAYLA KIND LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1851083356 KEIKO ENGEL
Individual
Social Worker (Clinical)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1316714223 HEATHER JOHNSON APSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1952172272 JENNIFER ELLENSON
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1831950286 SAMANTHA L EVERSON APSW
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1891546719 SKYLAR KROPLE LPC
Individual
Counselor (Professional)540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087
1073228607 SARAH JANE PETERSEN LCSW
Individual
Social Worker540 E GRAND AVE
BELOIT, WI 53511
(608) 368-8087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538560255, enumerated in the NPI registry as an "organization" on September 12, 2014

The provider is located at 540 E Grand Ave Beloit, Wi 53511 and the phone number is (608) 368-8087

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MercyCare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 12, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.