JACKSON COUNTY DHHS BEHAVIORAL HEALTH CLINIC
NPI 1801114632
Clinic/Center - Mental Health (Including Community Mental Health Center) in Black River Falls, WI

Active since May 04, 2010
421 COUNTY ROAD R, BLACK RIVER FALLS, WI 54615(715) 284-4301 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2019, Aug 14, 2019, Aug 1, 2019 and 2 more (5 updates tracked since 2019).

About Jackson County Dhhs Behavioral Health Clinic NPPES

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

JACKSON COUNTY DHHS BEHAVIORAL HEALTH CLINIC (NPI 1801114632) is a healthcare organization registered as a mental health (including community mental health center) in Black River Falls, Wisconsin and active in the NPI registry since May 2010. The organization lists Pam Taylor, Behavioral Health Specialist, as its authorized official.

NPPES Registry Identity

NPI1801114632
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF JACKSON
Location Address421 COUNTY ROAD RBlack River Falls, WI 54615-5129
Mailing Address421 County Road RBlack River Falls, WI 54615-5129 · (715) 284-4301
Organization SubpartNo
Authorized OfficialPam TaylorBehavioral Health Specialist · (715) 284-4301
Enumeration DateMay 4, 2010
Last NPPES UpdateAugust 20, 20195 updates tracked since enumeration
✔ NPI 1801114632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
421 COUNTY ROAD R, Black River Falls, WI 54615

Other Names 1

Doing Business AsJackson County Dhhs Behavioral Health Clinic

Accepted 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)

Jackson County Dhhs Behavioral Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jackson County Dhhs Behavioral Health Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Social Worker
NPI 1851044234
421 COUNTY ROAD R
Black River Falls, WI 54615
(715) 284-4301
✔ PECOS38 mi
Mental Health Counselor
NPI 1609383306
421 COUNTY ROAD R
Black River Falls, WI 54615
(715) 284-4301
✔ PECOS38 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 Jackson's NPI number?

The NPI number for County Of Jackson is 1801114632. It was assigned to this organization in the NPPES registry on May 4, 2010. The provider is doing business as Jackson County Dhhs Behavioral Health Clinic.

Where is County Of Jackson located?

County Of Jackson is located at 421 County Road R, Black River Falls, WI 54615. The listed phone number is (715) 284-4301.

What is County Of Jackson'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 Jackson enrolled in Medicare?

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

How many clinicians bill Medicare through County Of Jackson?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to County Of Jackson, in Clinical Social Worker and Mental Health Counselor. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Quartz and Security Health Plan list County Of Jackson 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 Jackson was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.