| Family Resources Associates Inc | |
|
1315 W Main St Watertown WI 53094-3564 | |
| (920) 261-4100 | |
| (920) 261-8801 |
| Full Name | Family Resources Associates Inc |
|---|---|
| Speciality | Counselor |
| Location | 1315 W Main St, Watertown, Wisconsin |
| Authorized Official Name and Position | Nikki L Kueffer (BUSINESS MANAGER) |
| Authorized Official Contact | 9202614100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Resources Associates Inc Po Box 364 Watertown WI 53094-0364 Ph: (920) 261-4100 | Family Resources Associates Inc 1315 W Main St Watertown WI 53094-3564 Ph: (920) 261-4100 |
| NPI Number | 1831202621 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/29/2016 |
| Medicare PECOS PAC ID | 5991773699 |
|---|---|
| Medicare Enrollment ID | O20040921000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831202621 | NPI | - | NPPES |
| 68376 | Other | WI | WPPN MULTIPLAN |
| 28146151 | Other | WI | WAUSAU BENEFITS |
| 326643 | Other | WI | VALUE OPTIONS |
| 546292 | Other | WI | DEAN HEALTH INS |
| 215861 | Other | WI | MHN |
| 42177600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1326 (Wisconsin) | Primary |
| Provider Name | Roger J Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821006370 PECOS PAC ID: 8426026121 Enrollment ID: I20040922000871 |
| Provider Name | David A Byrne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194835355 PECOS PAC ID: 0446228829 Enrollment ID: I20040923000157 |
| Provider Name | Carol A Erdman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124101951 PECOS PAC ID: 1850444613 Enrollment ID: I20090728000172 |
| Provider Name | Amy C Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104801398 PECOS PAC ID: 6709914088 Enrollment ID: I20100506000533 |
| Provider Name | Leslie A Ofner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053398545 PECOS PAC ID: 1557491834 Enrollment ID: I20100612000126 |
| Provider Name | Janet M Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851508899 PECOS PAC ID: 9133422447 Enrollment ID: I20160120002211 |
| Provider Name | Edward A Dehnert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376735894 PECOS PAC ID: 2264763796 Enrollment ID: I20191014001949 |
Serenity Mental Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N 3rd St Ste 112, Watertown, WI 53094 Phone: 920-248-0578 | |
Wisconsin Lutheran Child & Family Service, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Western Ave, Watertown, WI 53094 Phone: 800-438-1772 Fax: 262-345-5562 | |
Watertown Regional Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 Hospital Drive, Watertown, WI 53098 Phone: 920-261-4210 | |
Gymtastics, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 S 12th St, Watertown, WI 53094 Phone: 920-206-9323 Fax: 920-206-1056 | |
Uwhp Wrmc Neurology Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Hospital Dr, Ste 2002, Watertown, WI 53098 Phone: 920-262-4829 Fax: 920-262-4533 | |
Wrmc Directions Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Hospital Dr, Watertown, WI 53098 Phone: 920-252-4800 Fax: 920-262-4813 | |
Bethel Counseling & Consultation Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S 2nd St, Watertown, WI 53094 Phone: 262-623-1033 |