ASSOCIATED COUNSELING AND RECOVERY CENTER LLC – NPI #1487712519
Clinic/Center

ASSOCIATED COUNSELING AND RECOVERY CENTER LLC is an AHC clinic located in FOND DU LAC, WI. NPPES has assigned the NPI number 1487712519 to ASSOCIATED COUNSELING AND RECOVERY CENTER LLC on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 16 years ago on Nov 29, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC below.

NPI Profile for
ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

NPI Number
1487712519
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASSOCIATED COUNSELING AND RECOVERY CENTER LLC
Primary location
551 W JOHNSON ST
FOND DU LAC, WI 54935
Phone: (920) 907-0097 Fax: (920) 907-0109
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUDITH POLLARD
CLINIC DIRECTOR
Phone: (920) 907-0097
Updated
Identifiers

Identifiers for ASSOCIATED COUNSELING AND RECOVERY CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI42209700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
WI 2060

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.