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OZAUKEE COUNTY HUMAN SERVICES
NPI 1609867001
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Washington, WI

Active since November 03, 2005
121 W MAIN ST, DEPARTMENT HUMAN SERVICES, PORT WASHINGTON, WI 53074(262) 284-8200(262) 284-8104 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ozaukee County Human Services NPPES

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

OZAUKEE COUNTY HUMAN SERVICES (NPI 1609867001) is a healthcare organization registered as a mental health (including community mental health center) in Port Washington, Wisconsin and active in the NPI registry since November 2005. The organization lists Liza Drake, Director, as its authorized official.

NPPES Registry Identity

NPI1609867001
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF OZAUKEE
Location Address121 W MAIN ST, DEPARTMENT HUMAN SERVICESPort Washington, WI 53074-1813
Mailing Address121 W Main St, Department Human ServicesPort Washington, WI 53074-1813 · (262) 284-8200 · Fax (262) 284-8104
Phone(262) 284-8200
Fax(262) 284-8104
Organization SubpartNo
Authorized OfficialLiza DrakeDirector · (262) 284-8200
Enumeration DateNovember 3, 2005
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1609867001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
121 W MAIN ST, Port Washington, WI 53074
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Other Names 1

Doing Business AsOzaukee County Human Services

Other Identifiers 1

Medicaid42138800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz.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)

Ozaukee County Human Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Ozaukee County Human Services, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Suzanne Ronquillo, MA, LPC, LMFT-IT
Marriage and Family Therapist
NPI 1306270756
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8200
✔ PECOS✔ Accepts MedicareSame address
Carly Wallner
Mental Health Counselor
NPI 1801525795
121 W MAIN ST
Port Washington, WI 53074
(262) 238-8130
✔ PECOS✔ Accepts MedicareSame address
Michael Churchwell, M.D.
Psychiatry
NPI 1306075270
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8200
✔ PECOS✔ Accepts MedicareSame address
Rachael Sheets, LCSW
Clinical Social Worker
NPI 1659155919
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8200
✔ PECOSSame address
Jessica Ollman
Mental Health Counselor
NPI 1073859260
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8148
✔ PECOSSame address
Samantha Dagenhardt, RN, MS, MSN, PMHCNS-
Nurse Practitioner
NPI 1659642841
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8157
✔ PECOS✔ Accepts Medicare0.1 mi
Nicole Olson, LCSW, CSAC
Clinical Social Worker
NPI 1780032607
121 W MAIN ST
Port Washington, WI 53074
(262) 284-8142
✔ PECOS✔ Accepts Medicare0.1 mi
Laura Owens, MSW, LCSW, CADC III
Clinical Social Worker
NPI 1538182266
101 E PIER ST
Port Washington, WI 53074
(262) 284-3117
✔ PECOS✔ Accepts Medicare0.1 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 Ozaukee's NPI number?

The NPI number for County Of Ozaukee is 1609867001. It was assigned to this organization in the NPPES registry on November 3, 2005. The provider is doing business as Ozaukee County Human Services.

Where is County Of Ozaukee located?

County Of Ozaukee is located at 121 W Main St Department Human Services, Port Washington, WI 53074. The listed phone number is (262) 284-8200.

What is County Of Ozaukee'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 Ozaukee enrolled in Medicare?

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

How many clinicians bill Medicare through County Of Ozaukee?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to County Of Ozaukee. 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. The largest specialties are Clinical Social Worker (3), Mental Health Counselor (2) and Marriage and Family Therapist (1). Of these, 5 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Ozaukee accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list County Of Ozaukee 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 Ozaukee was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.