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PAUQUETTE CENTER FOR PSYCHOLOGICAL SERVICES
NPI 1780610923
Clinic/Center - Mental Health (Including Community Mental Health Center) in Portage, WI

Active since June 22, 2006CLIA 52D2044509 · Waiver
2901 HUNTERS TRL, PORTAGE, WI 53901(608) 742-5518(608) 742-4087 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2024, Aug 17, 2023 (2 updates tracked since 2023).

About Pauquette Center For Psychological Services NPPES

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

PAUQUETTE CENTER FOR PSYCHOLOGICAL SERVICES (NPI 1780610923) is a healthcare organization registered as a mental health (including community mental health center) in Portage, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 24, 2028 and lists Sherry D Stevens, Credentialing Dept/business Manager, as its authorized official.

NPPES Registry Identity

NPI1780610923
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY SERVICE ASSOCIATES, SC
Location Address2901 HUNTERS TRLPortage, WI 53901-3403
Mailing AddressPo Box 301, 2901 Hunters TrailPortage, WI 53901-3403 · (608) 742-5518 · Fax (608) 742-4087
Phone(608) 742-5518
Fax(608) 742-4087
Organization SubpartNo
Authorized OfficialSherry D StevensCredentialing Dept/business Manager · (608) 742-5518
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1780610923 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 · 2149
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2901 HUNTERS TRL, Portage, WI 53901
Open in Google Maps ↗

Other Names 2

Doing Business AsPauquette Center For Psychological Services
Doing Business AsD/b/a Pauquette Center

Other Identifiers 4

OtherCD8222WI · Railroad Medicare
OtherW010102WI · Tricare/champus
Other292394WI · Value Options
Other501113WI · Dean Health Plan

Accepted Insurance

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

Pauquette Center For Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Pauquette Center For Psychological Services, which bills Medicare for the services they deliver. Of these, 14 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Mental Health Counselor16
Clinical Social Worker15
Clinical Psychologist7
Marriage and Family Therapist3
Nurse Practitioner3

Nearest to this location (20)

See all 44
Rene Buenzow, DNP, PMHNP-BC, APRN
Nurse Practitioner
NPI 1548214810
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Lori Cornell, LPC
Mental Health Counselor
NPI 1376052035
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Kimberly Crowell, MSW
Clinical Social Worker
NPI 1992301683
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Jill Dickson-Baures, PSY. D.
Clinical Psychologist
NPI 1700287216
2901 HUNTERS TRL
Portage, WI 53901
(087) 425-5186
✔ PECOS✔ Accepts MedicareSame address
Jennifer Gruba, PHD
Clinical Psychologist
NPI 1033413646
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Amanda Mcconville
Nurse Practitioner
NPI 1063259489
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Sydney Mcdonald, MSW
Clinical Social Worker
NPI 1245954072
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Alexander Mentzel, MS, LPC-IT
Mental Health Counselor
NPI 1205529914
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Lisa Mowbray, MSW
Clinical Social Worker
NPI 1205852886
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Daelynn Phares, MS, LPC-IT
Mental Health Counselor
NPI 1689495095
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOSSame address
Kym Pharo, DNP, PMHNP-BC, FNP-B
Nurse Practitioner
NPI 1467976357
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Jonathan Schulz, MSE
Mental Health Counselor
NPI 1770512782
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Renee Birkholz, LPC-IT, SAS
Mental Health Counselor
NPI 1467826990
2901 HUNTERS TRL
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Jocelyn Miller, PHD
Clinical Psychologist
NPI 1952345480
2901 HUNTERS TRL PAUQUETTE CENTER - COMMUNITY SERVICE ASSOCIATES
Portage, WI 53901
(608) 742-5518
✔ PECOS✔ Accepts MedicareSame address
Thomas Hayes, PH.D.
Clinical Psychologist
NPI 1528001450
1002 LINCOLN AVE
Baraboo, WI 53913
(608) 356-9055
✔ PECOS14 mi
Rebecca Hoppe, LPC-IT
Mental Health Counselor
NPI 1649005497
1002 LINCOLN AVE
Baraboo, WI 53913
(608) 356-9055
✔ PECOS✔ Accepts Medicare14 mi
Sandra Reinardy, MSW
Clinical Social Worker
NPI 1619608726
1002 LINCOLN AVE
Baraboo, WI 53913
(608) 356-9055
✔ PECOS✔ Accepts Medicare14 mi
Brittany Hayes, MA
Mental Health Counselor
NPI 1720610454
S2845 WHITE EAGLE RD
Baraboo, WI 53913
(608) 355-1240
✔ PECOS✔ Accepts Medicare15 mi
Christine Preston, MWWS, LCSW
Clinical Social Worker
NPI 1104248160
S2845 WHITE EAGLE RD
Baraboo, WI 53913
(608) 355-1240
✔ PECOS✔ Accepts Medicare15 mi
Stephanie White Eagle, MFT,CSAC
Marriage and Family Therapist
NPI 1184957334
S2845 WHITE EAGLE RD
Baraboo, WI 53913
(608) 355-1240
✔ PECOS✔ Accepts Medicare15 mi
See all 44 clinicians

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2044509

Community Service Associates, Sc Dba Pauquette Center · Portage, WI
Active · expires Jul 24, 2028
CLIA Number52D2044509
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorRenee Birkholz
Laboratory Phone(608) 742-5518
Laboratory LocationCommunity Service Associates, Sc Dba Pauquette Center2901 Hunters Trail, Portage, WI 53901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Service Associates, Sc's NPI number?

The NPI number for Community Service Associates, Sc is 1780610923. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Pauquette Center For Psychological Services and d/b/a Pauquette Center.

Where is Community Service Associates, Sc located?

Community Service Associates, Sc is located at 2901 Hunters Trl, Portage, WI 53901. The listed phone number is (608) 742-5518.

What is Community Service Associates, Sc'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 Community Service Associates, Sc enrolled in Medicare?

Yes. Community Service Associates, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Service Associates, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 5 Medicare specialties reassign their Medicare billing to Community Service Associates, Sc. 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 Mental Health Counselor (16), Clinical Social Worker (15) and Clinical Psychologist (7). Of these, 14 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Community Service Associates, Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2044509) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Service Associates, Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, MercyCare and MercyCare Health Plans and 2 other insurers list Community Service Associates, Sc 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 Community Service Associates, Sc was last updated on July 25, 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.