| Dodge County Human Services Mental Health | |
|
199 County Road Df 3rd Floor Juneau WI 53039-9512 | |
| (920) 386-3500 | |
| (920) 386-4564 |
| Full Name | Dodge County Human Services Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 County Road Df, Juneau, Wisconsin |
| Authorized Official Name and Position | Rebecca L Bell (DIRECTOR) |
| Authorized Official Contact | 9203863534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodge County Human Services Mental Health 199 County Road Df 3rd Floor Juneau WI 53039-9512 Ph: (920) 386-3500 | Dodge County Human Services Mental Health 199 County Road Df 3rd Floor Juneau WI 53039-9512 Ph: (920) 386-3500 |
| NPI Number | 1871508515 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 09/27/2024 |
| Medicare PECOS PAC ID | 2466475587 |
|---|---|
| Medicare Enrollment ID | O20060104000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871508515 | NPI | - | NPPES |
| 42139700 | Medicaid | WI |
| Provider Name | Royle G Eenigenburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104858836 PECOS PAC ID: 4981673092 Enrollment ID: I20040927000349 |
| Provider Name | Jennifer L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457786667 PECOS PAC ID: 4587895537 Enrollment ID: I20140317000219 |
| Provider Name | Lisa Bright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093949760 PECOS PAC ID: 7810129129 Enrollment ID: I20150219000407 |
| Provider Name | Rebecca M Radue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447678651 PECOS PAC ID: 4385867381 Enrollment ID: I20161027000319 |
| Provider Name | Emily A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285107458 PECOS PAC ID: 9335487669 Enrollment ID: I20190212002919 |
| Provider Name | Emily A Jorgensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174976328 PECOS PAC ID: 3072949866 Enrollment ID: I20200215000020 |
| Provider Name | Lindsay A Radloff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982075289 PECOS PAC ID: 5991133357 Enrollment ID: I20200317002684 |
| Provider Name | Cori J Fendt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942659685 PECOS PAC ID: 3173953601 Enrollment ID: I20200423000913 |
| Provider Name | Allison A Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508342130 PECOS PAC ID: 9234554668 Enrollment ID: I20200803000987 |
| Provider Name | Ashley C Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992250658 PECOS PAC ID: 4981016193 Enrollment ID: I20201211002306 |
| Provider Name | Melissa Rose Josie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710336441 PECOS PAC ID: 6204206675 Enrollment ID: I20221229000102 |
| Provider Name | Donald O'dell Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720179013 PECOS PAC ID: 2062862071 Enrollment ID: I20240103000104 |
| Provider Name | Maisie Mae Floyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750874822 PECOS PAC ID: 8022468032 Enrollment ID: I20240103000191 |
| Provider Name | Jeanne Marie Louther |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952764706 PECOS PAC ID: 4880044817 Enrollment ID: I20240103000866 |
| Provider Name | Jade Elizabeth Bukowiec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073283719 PECOS PAC ID: 1658715164 Enrollment ID: I20240222003086 |
Crisis Intervention Progam Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df 3rd Floor, Juneau, WI 53032 Phone: 920-386-4094 Fax: 920-386-3812 | |
Healing Relationships Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Miller St, Juneau, WI 53039 Phone: 920-214-3733 Fax: 920-267-4027 | |
Dodge County Human Services Ccs Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df 3rd Floor, Juneau, WI 53032 Phone: 920-386-4094 Fax: 920-386-3812 |