COMMUNITY COUNSELING & EVALUATION SERVICES, LLC
NPI 1700390374
Clinic/Center - Adult Mental Health in Jefferson, WI

Active since November 18, 2017
115 S MAIN ST, JEFFERSON, WI 53549(920) 728-1125 Get Directions Write a Review

NPPES record last updated: November 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Counseling & Evaluation Services, Llc NPPES

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

COMMUNITY COUNSELING & EVALUATION SERVICES, LLC (NPI 1700390374) is a healthcare organization registered as an adult mental health in Jefferson, Wisconsin and active in the NPI registry since November 2017. The organization lists Tammy Jane King, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700390374
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOMMUNITY COUNSELING & EVALUATION SERVICES, LLC
Location Address115 S MAIN STJefferson, WI 53549-1631
Mailing Address125 E Woolcock StJefferson, WI 53549-1234 · (920) 728-1125
Organization SubpartNo
Authorized OfficialTammy Jane KingCeo · (920) 728-1125
Enumeration DateNovember 18, 2017
NPI 1700390374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in WI · 6752-123
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
115 S MAIN ST, Jefferson, WI 53549

Other Identifiers 1

Other1851710909WI · Individual

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
115 S MAIN ST
JEFFERSON, WI 53549

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 Community Counseling & Evaluation Services, LLC's NPI number?

The NPI number for Community Counseling & Evaluation Services, LLC is 1700390374. It was assigned to this organization in the NPPES registry on November 18, 2017.

Where is Community Counseling & Evaluation Services, LLC located?

Community Counseling & Evaluation Services, LLC is located at 115 S Main St, Jefferson, WI 53549. The listed phone number is (920) 728-1125.

What is Community Counseling & Evaluation Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Community Counseling & Evaluation Services, LLC was last updated on November 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.