Wisconsin Community Mental Health Program Certification ... · Mental Health Program Directory By...
Transcript of Wisconsin Community Mental Health Program Certification ... · Mental Health Program Directory By...
DEPARTMENT OF HEALTH SERVICESDivision of Quality Assurance
STATE OF WISCONSINBureau of Health Services
PO Box 2969Madison, WI 53701-2969
Community Mental HealthProgram Certification DirectoryBy County, City, and Provider Name
ADAMSFRIENDSHIP
3243ADAMS COUNTY HEALTH & HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202202/01/202001/17/2019
(608) 339-4593
(608) [email protected] SAARINEN-BARR
County: AdamsFRIENDSHIP, WI 53934108 E NORTH ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 02/01/2020 01/31/2022
Services
NO BRANCH LOCATIONS
2810ADAMS COUNTY HEALTH & HUMAN SERVICES DEPT COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201912/10/2008
(608) 339-4585
(608) [email protected] SAARINEN-BARR
County: AdamsFRIENDSHIP, WI 53934108 E NORTH STREET
CCS Affiliaton: 09/01/2014 12/31/2015Begin: End: Lead:Central Wisconsin Health Partnership
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2019 02/28/2021
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 03/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
1253ADAMS COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201809/01/1990
(608) 339-4585
(608) [email protected] BURRESS
County: AdamsFRIENDSHIP, WI 53934108 E NORTH STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 03/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 03/01/2018 02/29/2020
Services
Setting Begin/End DatesNon-Certified School Setting(s)03/01/2018 02/29/2020ADAMS/FRIENDSHIP HIGH SCHOOL, 1109 E NORTH ST, ADAMS, WI 53910
03/01/2018 02/29/2020ADAMS/FRIENDSHIP MIDDLE SCHOOL, 420 N MAIN ST, ADAMS, WI 53910
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Mental Health Program Directory By County, City, and Provider Name
3245FAMILY HEALTH LA CLINICA ROCHE-A-CRI BEHAVIORAL HEALTH & RECOVERY CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202003/14/201903/14/2019
() -
(608) [email protected] ROBINSON
County: AdamsFRIENDSHIP, WI 53934302 W LAKE ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/14/2019 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/14/2019 03/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
ASHLANDASHLAND
3055ASHLAND COUNTY CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202005/01/201901/01/2015
() -
(715) [email protected] BARNINGHAM
County: AshlandASHLAND, WI 54806514 WEST MAIN STREET
CCS Affiliaton: 01/01/2015 04/30/2019Begin: End: Lead:New Horizons North CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 05/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
3258ASHLAND COUNTY COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/31/201905/31/2019
(715) 682-7176
(715) [email protected] LEVNO
County: AshlandASHLAND, WI 54806514 MAIN STREET WEST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/31/2019 04/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 05/31/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2639ASHLAND COUNTY HEALTH AND HUMAN SERVICES/NORTHLAND COUNSELING SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201901/26/2006
(715) 682-2148
(715) [email protected] LUND
County: AshlandASHLAND, WI 548061619 WEST THIRD STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 04/01/2019 03/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 04/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2154BEHAVIORAL HEALTH SERVICES OF MEMORIAL MEDICAL CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/1999
(715) 685-5102
(715) [email protected] JENSEN
County: AshlandASHLAND, WI 548061635 MAPLE LANE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 10/01/2019 09/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 10/01/2019 09/30/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 10/01/2019 09/30/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
10/01/2019 11/29/2019
MENTAL HEALTH-INPATIENT DHS 61.71 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021NORTHLAND COLLEGE, 1411 ELLIS AVE, ASHLAND, WI 548061
10/01/2019 09/30/2021ASHLAND MIDDLE SCHOOL, 203 - 11TH STREET EAST, ASHLAND, WI 548063
10/01/2019 09/30/2021DRUMMOND AREA SCHOOL DISTRICT, 52440 EASTERN AVE, DRUMMOND, WI 548323
10/01/2019 09/30/2021HURLEY SCHOOL DISTRICT, 5503 W RANGE VIEW DR, HURLEY, WI 545343
10/01/2019 09/30/2021LAKE SUPERIOR PRIMARY SCHOOL, 1101 BINSFIELD ROAD, ASHLAND, WI 548063
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Mental Health Program Directory By County, City, and Provider Name
BARRONBARRON
2640BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201901/01/2006
(715) 537-6848
(715) [email protected] HAY
County: BarronBARRON, WI 54812335 EAST MONROE AVE ROOM 338
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
3230BARRON COUNTY DHHS COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2019
(715) 537-6848
(715) [email protected] HAY
County: BarronBARRON, WI 54812335 E MONROE AVE
CCS Affiliaton: 01/01/2019Begin: End: Lead:BESt CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
CUMBERLAND
3148CUMBERLAND MEMORIAL HOSPITAL INC DBA CUMBERLAND HEALTHCARE
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/06/2016
(715) 822-7221
(715) [email protected] ADER
County: BarronCUMBERLAND, WI 548291110 7TH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021CUMBERLAND HEALTHCARE - TURTLE LAKE, 632 US HWY 8, TURTLE LAKE, WI 548891
Setting Begin/End DatesNon-Certified School Setting(s)10/01/2019 09/30/2021CUMBERLAND ELEMENTARY SCHOOL, 1530 2ND AVE, CUMBERLAND, WI 54829
RICE LAKE
2925BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/30/202111/01/201911/01/2010
(715) 537-6848
(715) [email protected] HAY
County: BarronRICE LAKE, WI 54868935 N MAIN ST, LOWER LEVEL
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/30/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 11/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2707MARRIAGE AND FAMILY HEALTH SERVICES, LTD
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201802/01/2007
(715) 832-0771
(715) [email protected] SCHULZ-JOHNSTON
County: BarronRICE LAKE, WI 54868105 WEST AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
BAYFIELDBAYFIELD
3157RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202004/01/2017
(715) 779-3782
(715) [email protected] GURNOE
County: BayfieldBAYFIELD, WI 5481437390 NORTH BRADUM ROAD
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
3143RED CLIFF COMMUNITY HEALTH CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201905/20/2016
(715) 779-3362
(715) [email protected] GURNOE
County: BayfieldBAYFIELD, WI 5481436745 AIKEN ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2019 03/31/2021MISHOMIS WELLNESS CENTER, 37390 N BRADUM ROAD, BAYFIELD, WI 548142
04/01/2019 03/31/2021RCCHC WASHBURN, 409 W BAYFIELD ST, WASHBURN, WI 548912
Setting Begin/End DatesNon-Certified School Setting(s)04/01/2019 03/31/2021BAYFIELD SCHOOL DISTRICT, 300 N 4TH ST, BAYFIELD, WI 54814
04/01/2019 03/31/2021RED CLIFF EARLY CHILDHOOD CENTER, 89830 TINY TOT DR, BAYFIELD, WI 54814
04/01/2019 03/31/2021WASHBURN ELEMENTARY SCHOOL, 411 W 8TH ST, WASHBURN, WI 54891
04/01/2019 03/31/2021WASHBURN HIGH/MIDDLE SCHOOL, 305 W 4TH ST, WASHBURN, WI 54891
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Mental Health Program Directory By County, City, and Provider Name
IRON RIVER
1064NORTHLAKES COMMUNITY CLINIC AODA SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/1984
(715) 372-5067
(715) [email protected] AKL
County: BayfieldIRON RIVER, WI 548477665 US HWY 2
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/08/2019 08/31/2020NORTHLAKES COMMUNITY CLINIC-HURLEY, 210 5TH AVE N, HURLEY, WI 545341
09/01/2018 08/31/2020NORTHLAKES CLINIC - HAYWARD RIVERS EDGE, 15954 RIVERS EDGE DR, #121, HAYWARD, WI 54843
2
09/01/2018 08/31/2020NORTHLAKES COMMUNITY CLINIC - DOWNTOWN, 300 MAIN STREET WEST, ASHLAND, WI 548062
12/27/2018 08/31/2020NORTHLAKES COMMUNITY CLINIC - LAKEWOOD, 15397 HIGHWAY 32, LAKEWOOD, WI 541382
11/01/2018 08/31/2020NORTHLAKES COMMUNITY CLINIC - TURTLE LAKE, 730 SWEDE AVE, TURTLE LAKE, WI 548892
09/01/2018 08/31/2020NORTHLAKES COMMUNITY CLINIC - WASHBURN, 101 THOMPSON ROAD, WASHBURN, WI 548912
09/01/2018 08/31/2020NORTHLAKES COMMUNITY CLINIC-MINONG MEDICAL CLINIC, 600 SHELL CREEK ROAD, MINONG, WI 54859
2
11/26/2019 08/31/2020NORTHLAKES COMMUNITY CLINIC-WHITE LAKE, 524 BISSEL ST, WHITE LAKE, WI 544912
01/06/2020 08/31/2020ALMENA ELEMENTARY SCHOOL, 230 LULU AVE, ALMENA, WI 548053
09/01/2018 08/31/2020ASHLAND HIGH SCHOOL, 1900 BEASER AVENUE, ASHLAND, WI 548063
09/01/2018 08/31/2020ASHLAND MIDDLE SCHOOL, 203 - 11TH STREET EAST, ASHLAND, WI 548063
12/03/2019 08/31/2020BARRON HIGH SCHOOL, 1050 E WODDLAND AVE, BARRON, WI 548123
12/12/2019 08/31/2020CAMERON ELEMENTARY SCHOOL, 919 N 2ND ST, CAMERON, WI 548223
12/12/2019 08/31/2020CAMERON HIGH SCHOOL, 600 WISCONSIN AVE, CAMERON, WI 548223
12/12/2019 08/31/2020CAMERON MIDDLE SCHOOL, 600 WISCONSIN AVE, CAMERON, WI 548223
09/01/2018 08/31/2020CLAYTON SCHOOL, 236 POLK AVENUE WEST, CLAYTON, WI 540043
09/01/2018 08/31/2020CLEAR LAKE JR/SR HIGH SCHOOL, 1101 THIRD ST SW, CLEAR LAKE, WI 540053
12/13/2019 08/31/2020HURLEY SCHOOLS K-12, 5503 W RANGEVIEW DR, HURLEY, WI 545343
09/01/2018 08/31/2020LAKE SUPERIOR PRIMARY AND ELEMENTARY SCHOOLS, 1101 BINSFIELD ROAD, ASHLAND, WI 54806
3
09/01/2018 08/31/2020PRAIRIE FARM SCHOOL, 630 RIVER AVE S, PRAIRIE FARM, WI 547623
01/06/2020 08/31/2020RIDGELAND ELEMENTARY SCHOOL, 315 MAIN ST, RIDGELAND, WI 547633
12/03/2019 08/31/2020RIVERVIEW MIDDLE SCHOOL, 135 W RIVER AVE, BARRON, WI 548123
12/27/2018 08/31/2020SURING PUBLIC SCHOOLS K-12, 411 E ALGOMA ST, SURING, WI 541743
09/01/2018 08/31/2020TURTLE LAKE SCHOOL DISTRICT, 205 OAK STREET NORTH, TURTLE LAKE, WI 548893
06/25/2019 08/31/2020WABENO ELEMENTARY SCHOOL, 4346 MILL LN, WABENO, WI 545663
09/01/2018 08/31/2020WASHBURN ELEMENTARY SCHOOL/ELC, 411 W 8TH STREET, WASHBURN, WI 548913
09/01/2018 08/31/2020WASHBURN MIDDLE/HIGH SCHOOL, 305 4TH AVENUE WEST, WASHBURN, WI 548913
11/26/2019 08/31/2020WHITE LAKE K-12, 405 BISSELL ST, WHITE LAKE, WI 544913
09/01/2018 08/31/2020WOODLAND ELEMENTARY SCHOOL, 808 EAST WOODLAND AVE, BARRON, WI 548123
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Mental Health Program Directory By County, City, and Provider Name
WASHBURN
3054BAYFIELD COUNTY CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202005/01/201901/01/2015
(715) 373-6130
(715) [email protected] SKULAN
County: BayfieldWASHBURN, WI 54891117 EAST FIFTH STREET
CCS Affiliaton: 01/01/2015 04/30/2019Begin: End: Lead:New Horizons North CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 05/01/2019 12/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 05/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
3253NORTHLAND COMMUNITY SERVICES BAYFIELD
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/18/201903/18/2019
(715) 373-0162
(715) [email protected] LUND
County: BayfieldWASHBURN, WI 5489121 W OMAHA ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/18/2019 02/29/2020
Services
NO BRANCH LOCATIONS
2361NORTHLAND COUNSELING SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2001
(715) 373-0162
(715) [email protected] LUND
County: BayfieldWASHBURN, WI 5489121 W OMAHA STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020NORTHLAND COUNSELING SERVICES - ASHLAND, 1613 WEST THIRD STREET, ASHLAND, WI 548061
07/01/2018 06/30/2020NORTHLAND COUNSELING SERVICES LTD, 117 EAST SIXTH STREET, WASHBURN, WI 548911
07/01/2018 06/30/2020NORTHLAND COUNSELING SERVICES, 611 E WALL STREET, EAGLE RIVER, WI 545211
07/01/2018 06/30/2020NORTHLAND COUNSELING SERVICES, 1619 WEST THIRD STREET, ASHLAND, WI 548062
2/11/2020 Page 9 of 224
Mental Health Program Directory By County, City, and Provider Name
BROWNDE PERE
2736AURORA BEHAVIORAL HEALTH CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/08/2007
(920) 403-8209
(920) [email protected] ROLLIN
County: BrownDE PERE, WI 541151881 CHICAGO STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020AURORA HEALTH CARE - GREEN BAY, 1160 KEPLER DR, GREEN BAY, WI 543112
07/01/2018 06/30/2020AURORA MEDICAL GROUP MARINETTE, 4061 OLD PESHTIGO RD, MARINETTE, WI 541432
1301EMPLOYEE RESOURCE CENTER INC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201807/01/1989
(920) 403-7360
(920) [email protected] PECARD
County: BrownDE PERE, WI 541151511 WEST MAIN AVE SUITE 100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
2597LIVING HOPE CHRISTIAN COUNSELING
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201808/12/2005
(920) 336-3181
(920) [email protected] C JOHNSON
County: BrownDE PERE, WI 541152066 LAWRENCE DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
2/11/2020 Page 10 of 224
Mental Health Program Directory By County, City, and Provider Name
2924NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST DIRECTIONS - DE PERE
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201907/26/2010
(833) 581-5765
(920) [email protected] MAURER
County: BrownDE PERE, WI 54115300 S 6TH ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021NORHTWEST DIRECTIONS-STEVENS POINT, 525 - 4TH AVENUE, STEVENS POINT, WI 544811
02/01/2019 01/31/2021NORTHWEST DIRECTIONS - MENOMONIE, 402 TECHNOLOGY DR E, MENOMONIE, WI 547511
02/01/2019 01/31/2021NORTHWEST DIRECTIONS - RHINELANDER, 915 ACACIA LN, RHINELANDER, WI 545011
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-AMERY, PO BOX 167, 1096 APPLE AVENUE, AMERY, WI 540011
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-BLACK RIVER FALLS, N6643 COUNTY ROAD A, BLACK RIVER FALLS, WI 54615
1
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-GREEN BAY, 123 SOUTH VAN BUREN STREET, GREEN BAY, WI 543011
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-HAYWARD, 10692 U.S. HIGHWAY 63, HAYWARD, WI 548431
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-NORTHERN LIGHTS, 1201 NORTH 28TH STREET, SUPERIOR, WI 548801
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-SIREN, 7670 JOHNSON STREET, SIREN, WI 548721
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-WAUSAU, 5655 N 28TH AVENUE, WAUSAU, WI 544011
02/01/2019 01/31/2021NORTHWEST DIRECTIONS-WISCONSIN RAPIDS, 110-24TH STREET SOUTH, WISCONSIN RAPIDS, WI 54494
1
Setting Begin/End DatesNon-Certified School Setting(s)02/01/2019 01/31/2021COLFAX MIDDLE/HIGH SCHOOL, 601 UNIVERSITY AVE, COLFAX, WI 54730
02/01/2019 01/31/2021GREAT LAKES ELEMENTARY SCHOOL, 129 N 28TH ST, SUPERIOR, WI 54880
02/01/2019 01/31/2021MENOMONIE HIGH SCHOOL, 1715 5TH ST W, MENOMONIE, WI 54751
02/01/2019 01/31/2021MENOMONIE MIDDLE SCHOOL, 920 21ST ST E, MENOMONIE, WI 54751
02/01/2019 01/31/2021NORTHERN LIGHTS ELEMENTARY SCHOOL, 1201 N 28TH ST, SUPERIOR, WI 54880
2160NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - DE PERE
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/1999
(833) 581-5765
(920) [email protected] JOHNSON
County: BrownDE PERE, WI 54115300 S SIXTH ST, LOWER LEVEL
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 11/01/2019 10/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
11/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2/11/2020 Page 11 of 224
Mental Health Program Directory By County, City, and Provider Name
1743ST. VINCENT HOSPITAL DBA PREVEA HEALTH
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201812/09/1996
(920) 272-1201
(920) [email protected] TUTSKEY
County: BrownDE PERE, WI 541153860 MONROE ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2018 12/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2018 12/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2018 12/31/2019HSHS ST VINCENT HOSPITAL, 835 S VAN BUREN ST, GREEN BAY, WI 543011
01/01/2018 12/31/2019PREVEA ALLOUEZ HEALTH CENTER, 1821 WEBSTER AVE, GREEN BAY, WI 543011
01/01/2018 12/31/2019PREVEA EAST MASON HEALTH CENTER, 3021 VOYAGER DRIVE, GREEN BAY, WI 543111
01/01/2018 12/31/2019PREVEA LUXEMBURG HEALTH CENTER, 101 SCHOOL CREEK TRAIL, LUXEMBURG, WI 542171
01/01/2018 12/31/2019PREVEA OCONTO HEALTH CENTER, 620 SMITH STREET, OCONTO, WI 541531
01/01/2018 12/31/2019PREVEA PULASKI HEALTH CENTER, 940 S AUGUSTINE STREET, PULASKI, WI 541621
01/01/2018 12/31/2019PREVEA SHAWANO AVENUE HEALTH, 1727 SHAWANO AVENUE, GREEN BAY, WI 543031
07/16/2018 12/31/2019PREVEA SHAWANO HEALTH CENTER, 1300 E GREEN BAY ST, SHAWANO, WI 541661
01/01/2018 12/31/2019PREVEA HOWARD HEALTH CENTER, 2793 LINEVILLE RD, GREEN BAY, WI 543132
05/29/2018 12/31/2019PREVEA MARINETTE HEALTH CENTER, 1409 CLEVELAND AVE, MARINETTE, WI 541432
05/29/2018 12/31/2019PREVEA OCONTO FALLS HEALTH CENTER, 835 S MAIN ST, OCONTO, WI 541532
01/01/2018 12/31/2019PREVEA ST MARY'S HEALTH CENTER, 1715 DOUSMAN ST, GREEN BAY, WI 543032
01/01/2018 12/31/2019PREVEA WEST DEPERE HEALTH CENTER, 1686 EISENHOWER RD, DE PERE, WI 541152
01/01/2018 12/31/2019FOREST GLEN, 1935 CARDINAL LN, GREEN BAY, WI 543133
11/12/2018 12/31/2019FRANKLIN MIDDLE SCHOOL, 1233 LORE LN, GREEN BAY, WI 543033
01/01/2018 12/31/2019MEADOWBROOK ELEMENTARY, 720 HILLCREST HEIGHTS, GREEN BAY, WI 543133
01/01/2018 12/31/2019PULASKI HIGH SCHOOL, 1040 S SAINT AUGUSTINE ST, PULASKI, WI 541623
2460WISCONSIN EARLY AUTISM PROJECT, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/2003
(920) 338-1616
(920) [email protected] HOOPS
County: BrownDE PERE, WI 541151141 W MAIN AVE #201
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
GREEN BAY
3047BAETEN COUNSELING & CONSULTATION TEAM, SC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/06/2014
(920) 632-4315
(920) [email protected] BAETEN
County: BrownGREEN BAY, WI 543012920 S WEBSTER AVE, SUITE B
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/26/2019 07/31/2021DENMARK HIGH SCHOOL, 450 N WALL ST, DENMARK, WI 542083
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Mental Health Program Directory By County, City, and Provider Name
1098BELLIN PSYCHIATRIC CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/1984
(920) 431-0333
(920) [email protected] COUNARD
County: BrownGREEN BAY, WI 54301301 E ST JOSEPH STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 04/01/2018 03/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2018 11/29/2019
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 04/01/2018 03/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020BELLIN PSYCHIATRIC CENTER, 744 S WEBSTER AVE, GREEN BAY, WI 543011
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - ALGOMA, 831 PARKER ST, ALGOMA, WI 542011
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - BONDUEL, 401 W MILL ST, BONDUEL, WI 541071
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - BRILLION, 964 W RYAN ST, STE B, BRILLION, WI 541101
11/01/2019 03/31/2020BELLIN PSYCHIATRIC CTR - GREEN BAY, 704 S WEBSTER AVE, 3RD FL, STE 110, GREEN BAY, WI 54301
1
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - KEWAUNEE, 575 - 4TH ST, KEWAUNEE, WI 542161
04/01/2018 03/31/2020BELLIN HEALTH GENERATIONS, 720 S VAN BUREN ST #101, GREEN BAY, WI 543012
04/01/2018 03/31/2020BELLIN HEALTH RIVERSIDE PSYCHIATRIC GROUP, 1325 ANGELS PATH, DE PERE, WI 541152
11/01/2018 03/31/2020BELLIN HEALTH SURING, 307 MANOR DRIVE, SURING, WI 541742
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - EAST DE PERE, 555 REDBIRD CIRCLE STE 100, DE PERE, WI 541152
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - OCONTO FALLS, 107 E HIGHLAND DR, OCONTO FALLS, WI 541542
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR - STURGEON BAY, 311 N 3RD AVENUE, STURGEON BAY, WI 542352
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR-NEURO TEAM, 725 S WEBSTER, GREEN BAY, WI 543052
04/01/2018 03/31/2020BELLIN PSYCHIATRIC CTR-W DE PERE, 1800 LAWRENCE DR, DE PERE, WI 541152
04/01/2018 03/31/2020ALGOMA ELEMENTARY SCHOOL, 514 FREEMONT STREET, ALGOMA, WI 542013
04/01/2018 03/31/2020ALGOMA MIDDLE AND HIGH SCHOOL, 1715 DIVISION STREET, ALGOMA, WI 542013
09/01/2018 03/31/2020DANZ ELEMENTARY SCHOOL, 2130 BASTEN STREET, GREEN BAY, WI 543023
09/01/2018 03/31/2020DE PERE MIDDLE SCHOOL, 700 SWAN ROAD, DE PERE, WI 541153
04/01/2018 03/31/2020DR. ROSA MINOKA-HILL SCHOOL, 325 N ROOSEVELT, GREEN BAY, WI 543013
01/10/2020 03/31/2020FOXVIEW INTERMEDIATE SCHOOL, 650 S MICHIGAN, DE PERE, WI 541153
04/01/2018 03/31/2020HEMLOCK CREEK ELEMENTARY SCHOOL, 1900 WILLIAMS GRANT DR, DE PERE, WI 541153
04/01/2018 03/31/2020PHANTOM KNIGHT CHARTER - WEST ACADEMY, 400 REID ST, SUITE W, DE PERE, WI 541153
04/01/2018 03/31/2020WESTWOOD ELEMENTARY SCHOOL, 1155 WESTWOOD, DE PERE, WI 541153
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Mental Health Program Directory By County, City, and Provider Name
2241BELLIN PSYCHIATRIC CENTER BEHAVIORAL HEALTH CLINIC ASHWAUBENON
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/30/2000
(920) 430-4787
(920) [email protected] COUNARD
County: BrownGREEN BAY, WI 543131630 COMMANCHE AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 06/30/2020BELLIN PSYCHIATRIC CENTER - TITLETOWN, 1970 S RIDGE RD, GREEN BAY, WI 543041
07/01/2018 06/30/2020BELLIN PSYCHIATRIC CENTER-ONCOLOGY, 1580 COMMANCHE AVENUE, GREEN BAY, WI 543131
07/01/2018 06/30/2020BELLIN PSYCHIATRIC CENTER-UNITED HEALTHCARE, 3100 AMS BLVD, GREEN BAY, WI 543131
07/01/2018 06/30/2020BELLIN PSYCHIATRIC CENTER - HOWARD, 2714 RIVERVIEW DRIVE, GREEN BAY, WI 543132
07/01/2018 06/30/2020BELLIN PSYCHIATRIC CENTER - PULASKI, 723 S. WISCONSIN STREET, PULASKI, WI 541622
07/01/2018 06/30/2020SEYMOUR COMMUNITY HS & MIDDLE SCHOOL, 10 CIRCLE DRIVE, SEYMOUR, WI 541653
2442BELLIN PSYCHIATRIC CENTER BELLEVUE
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/10/2002
(920) 431-0333
(920) [email protected] COUNARD
County: BrownGREEN BAY, WI 543113263 EATON ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020BELLIN PSYCHIATRIC CENTER-MANITOWOC, 3415 CUSTER ST SUITE D, MANITOWOC, WI 542202
11/01/2018 10/31/2020LUXEMBURG CASCO INTERMEDIATE SCHOOL, 318 N MAIN ST, LUXEMBURG, WI 542173
11/01/2018 10/31/2020LUXEMBURG CASCO MIDDLE SCHOOL, 619 CHURCH AVE, CASCO, WI 542053
07/25/2019 10/31/2020LUXEMBURG CASCO PRIMARY SCHOOL, 601 MARCKS LANE, LUXEMBURG, WI 542173
11/01/2018 10/31/2020SEVASTOPOL SCHOOL DISTRICT, 4550 HIGHWAY 57, STURGEON BAY, WI 542353
2615BROWN COUNTY COMMUNITY TREATMENT CENTER COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201808/25/2005
(920) 391-4811
(920) [email protected] AGAR
County: BrownGREEN BAY, WI 543113150 GERSHWIN DRIVE
CCS Affiliaton: 09/01/2014 12/31/2017Begin: End: Lead:Northeastern Region CCS Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 09/01/2018 08/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 09/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1117BROWN COUNTY COMMUNITY TREATMENT CTR
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201910/01/1975
(920) 391-4811
(920) [email protected] AGAR
County: BrownGREEN BAY, WI 543113150 GERSHWIN DRIVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 09/01/2019 08/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 09/01/2019 11/29/2019
MENTAL HEALTH-INPATIENT DHS 61.71 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021BROWN COUNTY HUMAN SVS YOUTH CLINIC, 111 NORTH JEFFERSON ST, GREEN BAY, WI 543052
2381BROWN COUNTY HUMAN SERVICES-CSP BROWN COUNTY COMMUNITY TREATMENT CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201906/24/2002
(920) 391-4811
(920) [email protected] AGAR
County: BrownGREEN BAY, WI 543113150 GERSHWIN DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 09/01/2019 08/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 09/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
1140CATHOLIC CHARITIES, DIOCESE OF GREEN BAY, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201901/01/1988
(920) 437-4067
(920) [email protected] J GARDNER
County: BrownGREEN BAY, WI 543011825 RIVERSIDE DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY, 1712 DUNLAP, STE 5, MARINETTE, WI
541432
02/01/2019 01/31/2021EDISON MIDDLE SCHOOL, 442 ALPINE DR, GREEN BAY, WI 543023
2/11/2020 Page 15 of 224
Mental Health Program Directory By County, City, and Provider Name
1329FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201801/12/1996
(920) 437-3540
(920) [email protected] MISCHLER
County: BrownGREEN BAY, WI 54301300 CROOKS STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020FAMILY SERVICES - SOUTH IRWIN, 626 S IRWIN AVENUE, GREEN BAY, WI 543011
04/01/2018 03/31/2020FAMILY SERVICES RESIDENTIAL, 3430 SPIRIT WAY, GREEN BAY, WI 543041
04/01/2018 03/31/2020FAMILY SERVICES WILLOW TREE CHILD ADVOCACY CENTER, 503 S MONROE STREET, GREEN BAY, WI 54301
1
04/01/2018 03/31/2020EAST HIGH SCHOOL, 1415 E WALNUT ST, GREEN BAY, WI 543013
04/01/2018 03/31/2020WRIGHTSTOWN HIGH SCHOOL, 600 HIGH ST, WRIGHTSTOWN, WI 541803
04/01/2018 03/31/2020WRIGHTSTOWN MIDDLE SCHOOL, 400 SCHOOL ST, WRIGHTSTOWN, WI 541803
1332FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201902/01/1984
(920) 433-3383
(920) [email protected] M PELTIER
County: BrownGREEN BAY, WI 54301626 S. IRWIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1035FOUNDATIONS HEALTH AND WHOLENESS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201804/01/1981
(920) 437-1188
(920) [email protected] FELD
County: BrownGREEN BAY, WI 543031061 W MASON ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020BOYS AND GIRLS CLUB, 311 S. ONEIDA ST, GREEN BAY, WI 543031
08/09/2019 04/30/2020FREEDOM HOUSE, 840 N TAYLOR ST, GREEN BAY, WI 543031
05/01/2018 04/30/2020NEW COMMUNITY CLINIC - NWTC, 2740 W. MASON ST., GREEN BAY, WI 543071
05/01/2018 04/30/2020NEW COMMUNITY CLINIC, 622 BODART ST, GREEN BAY, WI 543011
05/01/2018 04/30/2020OUTREACH HEALTHCARE, 879 MATHER ST., GREEN BAY, WI 543031
03/12/2019 04/30/2020AGING & DISABILITY RESOURCE CENTER, 300 S ADAMS ST, GREEN BAY, WI 543032
03/12/2019 04/30/2020BOYS AND GIRLS CLUB, 1451 UNIVERSITY AVE, GREEN BAY, WI 543012
03/12/2019 04/30/2020HOUSE OF HOPE, 1660 CHRISTIANA ST, GREEN BAY, WI 543032
03/12/2019 04/30/2020MICAH CENTER, 700 E WALNUT ST, GREEN BAY, WI 543012
03/12/2019 04/30/2020NEW COMMUNITY SHELTER, 301 MATHER ST, GREEN BAY, WI 543012
Setting Begin/End DatesNon-Certified School Setting(s)05/01/2018 04/30/2020ALDO LEOPOLD SCHOOL, 622 ELIZA ST, GREEN BAY, WI 54301
05/01/2018 04/30/2020BAY VIEW MIDDLE SCHOOL, 1217 CARDINAL LANE, GREEN BAY, WI 54313
05/01/2018 04/30/2020LINEVILLE INTERMEDIATE SCHOOL, 2700 LINEVILLE ROAD, GREEN BAY, WI 54313
2283INNOVATIVE COUNSELING, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201912/14/2000
(920) 498-0476
(920) [email protected] GILBERTSON
County: BrownGREEN BAY, WI 543041499 SIXTH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020INNOVATIVE COUNSELING, INC., 7488 SPRUCE STREET, MINOCQUA, WI 545481
12/17/2019 12/31/2020WASHINGTON ISLAND SCHOOL, 888 MAIN ROAD, WASHINGTON ISLAND, WI 542463
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2019 12/31/2020ASHWAUBENON HIGH SCHOOL, 2391 S RIDGE RD, ASHWAUBENON, WI 54304
01/01/2019 12/31/2020PARKVIEW MIDDLE SCHOOL, 955 WILLARD DR, ASHWAUBENON, WI 54304
01/01/2019 12/31/2020PIONEER ELEMENTARY SCHOOL, 1360 PONDEROSA AVE, GREEN BAY, WI 54313
01/01/2019 12/31/2020VALLEY VIEW ELEMENTARY SCHOOL, 2200 TRUE LN, ASHWAUBENON, WI 54304
2/11/2020 Page 17 of 224
Mental Health Program Directory By County, City, and Provider Name
3270INNOVATIVE SERVICES WELLNESS CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202012/17/201912/17/2019
(920) 273-3371
(920) [email protected] BAUMGART
County: BrownGREEN BAY, WI 543021234 MAIN STREET, 3RD FL
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/17/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/17/2019 12/31/2020INNOVATIVE SVS WELLNESS-FOX VALLEY, 1119 W KENNEDY ST, KIMBERLY, WI 541362
12/17/2019 12/31/2020INNOVATIVE SVS WELLNESS-LA CROSSE, 1052 OAK FOREST DR, STE 360, ONALASKA, WI 546502
2988JACKIE NITSCHKE CENTER, INC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/01/2013
(920) 435-2580
(920) [email protected] JOHNSEN
County: BrownGREEN BAY, WI 54301621 E WALNUT STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020JACKIE NITSCHKE CENTER, INC. ADMIN OFFICES & FAM E, 700 CHERRY STREET, GREEN BAY, WI
543011
1454KA'NI KUHLI'YO FAMILY CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201903/11/1993
(920) 490-3883
(920) [email protected] KRIESCHER
County: BrownGREEN BAY, WI 543032640 WEST POINT ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021ANNA JOHN RESIDENT CENTERED CARE COMMUNITY, 2901 S OVERLAND, ONEIDA, WI 541551
02/01/2019 01/31/2021ONEIDA COMMUNITY HEALTH CENTER, 525 AIRPORT DRIVE, ONEIDA, WI 541551
02/01/2019 01/31/2021ONEIDA NATION VETERAN'S DEPARTMENT, 134 RIVERDALE DR., ONEIDA, WI 541551
02/01/2019 01/31/2021ONEIDA NATION ELEMENTARY SCHOOL, N7125 SEMINARY ROAD, ONEIDA, WI 541553
02/01/2019 01/31/2021ONEIDA NATION HIGH SCHOOL, N7210 SEMINARY ROAD, ONEIDA, WI 541553
02/01/2019 01/31/2021SEYMOUR HIGH SCHOOL SYSTEM, 10 CIRCLE DRIVE, SEYMOUR, WI 541653
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Mental Health Program Directory By County, City, and Provider Name
3025KIMBERLEY WELK AND ASSOCIATES LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/11/2014
(888) 449-6342
(920) [email protected] WELK
County: BrownGREEN BAY, WI 54301926 WILLARD DR #136
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020KIMBERLEY WELK AND ASSOCIATES LLC, 935 S 8TH STREET STE 102, MANITOWOC, WI 542201
06/27/2019 03/31/2020FRANKLIN ELEMENTARY SCHOOL, 800 S 35TH ST, MANITOWOC, WI 542203
06/27/2019 03/31/2020JACKSON ELEMENTARY SCHOOL, 1201 N 18TH ST, MANITOWOC, WI 542203
06/27/2019 03/31/2020JEFFERSON ELEMENTARY SCHOOL, 1415 DIVISION ST, MANITOWOC, WI 542203
08/08/2019 03/31/2020KIEL HIGH SCHOOL, 210 RAIDER HEIGHTS, KIEL, WI 530423
08/08/2019 03/31/2020KIEL MIDDLE SCHOOL, 502 PAINE ST, KIEL, WI 530423
11/12/2018 03/31/2020MANITOWOC PUBLIC HIGH SCHOOL, 1433 S 8TH ST, MANITOWOC, WI 542203
02/01/2019 03/31/2020REEDSVILLE ELEMENTARY/MIDDLE SCHOOL, 350 PARK ST, REEDSVILLE, WI 542303
02/01/2019 03/31/2020REEDSVILLE HIGH SCHOOL, 340 MANITOWOC ST, REEDSVILLE, WI 542303
06/27/2019 03/31/2020STANGEL ELEMENTARY SCHOOL, 1002 E CEDAR AVE, MANITOWOC, WI 542203
04/03/2019 03/31/2020SUNRISE ELEMENTARY SCHOOL, 1414 RHODE ISLAND ST, STURGEON BAY, WI 542353
02/01/2019 03/31/2020VALDERS ELEMENTARY SCHOOL, 331 W WILSON, VALDERS, WI 542453
02/01/2019 03/31/2020VALDERS MIDDLE/HIGH SCHOOL, 138 E WILSON, VALDERS, WI 542453
1669NEW WELLNESS ASSOCIATES, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/1993
(920) 497-3135
(920) [email protected] HOWARD
County: BrownGREEN BAY, WI 543042733 S. RIDGE ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021NEW WELLNESS ASSOCIATES, INC., 1941 LEHRER LN, KAUKAUNA, WI 541301
3197NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY – GREEN BAY
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/2018
(844) 380-1192
(920) [email protected] MAURER
County: BrownGREEN BAY, WI 54301123 S VAN BUREN
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2019 01/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
02/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2/11/2020 Page 19 of 224
Mental Health Program Directory By County, City, and Provider Name
2929POWER FOR CHANGE, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/13/2010
(651) 707-0026
(920) [email protected] SHEFCHIK
County: BrownGREEN BAY, WI 54303123 N OAKLAND AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021POWER FOR CHANGE, LLC I MILWAUKEE, 10201 W LINCOLN AVE #106, WEST ALLIS, WI 532272
3168SBH GREEN BAY, LLC DBA WILLOW CREEK BEHAVIORAL HEALTH
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/10/2017
(920) 469-7213
(920) [email protected] DENIL
County: BrownGREEN BAY, WI 543111351 ONTARIO RD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 02/01/2018 01/31/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 02/01/2018 01/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 3 DHS 40.11(2)(C) 02/01/2018 01/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
3076SPECTRUM BEHAVIORAL HEALTH LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201901/20/2015
(920) 784-2655
(920) [email protected] CARMODY
County: BrownGREEN BAY, WI 543111496 BELLEVUE ST SUITE 101
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
1965VILLA HOPE COMMUNITY SUPPORT PROGRAM OF BROWN COUNTY
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201802/06/1996
(920) 469-5599
(920) [email protected] TOONEN
County: BrownGREEN BAY, WI 543111100 GUNS ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
2/11/2020 Page 20 of 224
Mental Health Program Directory By County, City, and Provider Name
BURNETTSIREN
2633ACCESS INC COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2006
(715) 349-7205
(715) [email protected] WOLF
County: BurnettSIREN, WI 5487224248 STATE ROAD 35/70 UNIT D
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
2630BURNETT COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT/ACCESS, INC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2005
(715) 349-2140
(715) [email protected] HOPKE
County: BurnettSIREN, WI 548727410 COUNTY K, #280
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
2493FAMILIES FIRST COUNSELING CENTER, LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202108/01/201901/08/2004
(715) 349-8918
(715) [email protected] HAYMAN
County: BurnettSIREN, WI 5487224178 FIRST AVE SO, SUITE 2
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 01/31/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)08/01/2019 01/31/2021FREDERIC 6-12 SCHOOL, 1437 CLAM FALLS DR, FREDERIC, WI 54837
08/01/2019 01/31/2021GRANTSBURG ELEMENTARY SCHOOL, 475 E JAMES AVE, GRANTSBURG, WI 54840
08/01/2019 01/31/2021GRANTSBURG HIGH SCHOOL, 480 E JAMES AVE, GRANTSBURG, WI 54840
08/01/2019 01/31/2021GRANTSBURG MIDDLE SCHOOL, 500 E JAMES AVE, GRANTSBURG, WI 54840
08/01/2019 01/31/2021WEBSTER 5-12 SCHOOL, 7564 ADLER ST W, WEBSTER, WI 54893
08/01/2019 01/31/2021WEBSTER ELEMENTARY SCHOOL, 7364 ALDER ST E, WEBSTER, WI 54893
2290NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - SIREN
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201802/12/2001
(715) 349-2737
(715) [email protected] MAURER
County: BurnettSIREN, WI 5487224996 STATE ROAD 35
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 04/01/2018 03/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
04/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
2/11/2020 Page 21 of 224
Mental Health Program Directory By County, City, and Provider Name
WEBSTER
2217ST. CROIX TRIBAL BEHAVIORAL HEALTH CLINIC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2000
(715) 349-8528
(715) [email protected] LOWE
County: BurnettWEBSTER, WI 548934404 STATE RD 70
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020ROUND LAKE CLINIC, 2230 - 60TH AVENUE, LUCK, WI 548531
2/11/2020 Page 22 of 224
Mental Health Program Directory By County, City, and Provider Name
CALUMETCHILTON
1120CALUMET COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201810/01/1975
(920) 849-1468
(920) [email protected] LECLAIR
County: CalumetCHILTON, WI 53014206 COURT STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 07/01/2018 06/30/2020
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 07/01/2018 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 07/01/2018 06/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 07/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020CALUMET COUNTY DEPT OF HUMAN SERVICES, 2306 S. ONEIDA STREET, APPLETON, WI 549152
2244CALUMET COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2000
(920) 849-1468
(920) [email protected] LECLAIR
County: CalumetCHILTON, WI 53014206 COURT STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2018 06/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 07/01/2018
11/29/2019
Services
NO BRANCH LOCATIONS
2674CALUMET COUNTY DEPT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201906/13/2006
(920) 849-1468
(920) [email protected] LECLAIR
County: CalumetCHILTON, WI 53014206 COURT STREET
CCS Affiliaton: 09/01/2014Begin: End: Lead:Northeastern Region CCS Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 07/01/2019 06/30/2021
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 07/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021CCDHHS - APPLETON OFFICE, 2306 S ONEIDA ST, APPLETON, WI 549152
2/11/2020 Page 23 of 224
Mental Health Program Directory By County, City, and Provider Name
CHIPPEWACHIPPEWA FALLS
2424MARRIAGE & FAMILY HEALTH SERVICES, LTD.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201801/01/2003
(715) 726-8731
(715) [email protected] SCHULZ-JOHNSTON
County: ChippewaCHIPPEWA FALLS, WI 54729405 ISLAND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
1475ST. JOSEPH'S HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/12/1977
(715) 717-7504
(715) [email protected] SIMONSON
County: ChippewaCHIPPEWA FALLS, WI 547292661 COUNTY HIGHWAY I
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 02/01/2018 12/31/2018
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 02/01/2018 01/31/2020
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 02/01/2018 01/31/2020
CSAS-MEDICALLY MONITORED TREATMENT DHS 75.11 02/01/2018 01/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2018 12/31/2018
CSAS-TRANSITIONAL RESIDENTIAL DHS 75.14 02/01/2018 01/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 12/31/2018
Services
NO BRANCH LOCATIONS
3066WESTERN REGION RECOVERY AND WELLNESS CONSORTIUM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2015
(715) 726-4560
(715) [email protected] BARRICKMAN
County: ChippewaCHIPPEWA FALLS, WI 54729711 N BRIDGE STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 05/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020BUFFALO COUNTY DEPT OF HEALTH & HUMAN SERVICES, 407 S. SECOND STREET, ALMA, WI
546101
05/01/2018 04/30/2020PEPIN COUNTY DEPT OF HUMAN SERVICES, 740 - 7TH AVE. WEST, DURAND, WI 547361
2/11/2020 Page 24 of 224
Mental Health Program Directory By County, City, and Provider Name
3064WESTERN REGION RECOVERY AND WELLNESS CONSORTIUM - CSP
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2015
(715) 726-7736
(715) [email protected] BARRICKMAN
County: ChippewaCHIPPEWA FALLS, WI 54729711 N BRIDGE STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2018 04/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 05/01/2018
11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020BUFFALO COUNTY DEPT OF HEALTH & HUMAN SERVICES, 407 S. SECOND STREET, ALMA, WI
546101
05/01/2018 04/30/2020PEPIN COUNTY DEPT OF HUMAN SERVICES, 740 - 7TH AVE. WEST, DURAND, WI 547361
3065WESTERN REGION RECOVERY AND WELLNESS CONSORTIUM-CCS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2015
(715) 726-7816
(715) [email protected] BARRICKMAN
County: ChippewaCHIPPEWA FALLS, WI 54729711 N BRIDGE STREET
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 04/01/2019 03/31/2021
CCS REGIONAL MODEL MULTI-COUNTY W/TELEHEALTH DHS 36 04/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2019 03/31/2021BUFFALO COUNTY DEPT OF HEALTH & HUMAN SERVICES, 407 S SECOND ST, ALMA, WI 546102
01/01/2020 03/31/2021BURNETT COUNTY DEPT OF HUMAN SERVICES, 7410 CTY RD K, SIREN, WI 548722
04/01/2019 03/31/2021DUNN COUNTY DEPT OF HUMAN SERVICES, 3001 US HWY 12 E, STE 160, MENOMONIE, WI 547512
04/01/2019 03/31/2021PEPIN COUNTY DEPT OF HUMAN SERVICES, 740 7TH AVE WEST, DURAND, WI 547362
04/01/2019 03/31/2021PIERCE COUNTY DEPT OF HUMAN SERVICES, 412 W KINNE ST, ELLSWORTH, WI 540112
04/01/2019 03/31/2021POLK COUNTY HUMAN SERVICES DEPT, 100 POLK COUNTY PLAZA, STE 50, BALSAM LAKE, WI 54810
2
04/01/2019 03/31/2021RUSK COUNTY DEPT OF HEALTH & HUMAN SERVICES, 311 E MINER ST, LADYSMITH, WI 548482
04/01/2019 03/31/2021WASHBURN COUNTY DEPT OF HEALTH AND HUMAN SERVICES, 110 4TH AVENUE, SHELL LAKE, WI 54871
2
2/11/2020 Page 25 of 224
Mental Health Program Directory By County, City, and Provider Name
CLARKNEILLSVILLE
1201CLARK COUNTY COMMUNITY SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/1984
(715) 743-5209
(715) [email protected] VOIGT
County: ClarkNEILLSVILLE, WI 54456517 COURT STREET RM 503
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021CLARK COUNTY REHABILITATION AND LIVING CENTER, W4266 STATE HWY 29, OWEN, WI 544602
01/01/2020 12/31/2021GRANTON SCHOOL DISTRICT, 217 N. MAIN STREET, GRANTON, WI 544363
01/01/2020 12/31/2021GREENWOOD ELEMENTARY, 700 EAST DIVISION STREET, GREENWOOD, WI 544373
01/01/2020 12/31/2021GREENWOOD MIDDLE/HIGH SCHOOL, 306 WEST CENTRAL AVENUE, GREENWOOD, WI 544373
01/01/2020 12/31/2021LOYAL SCHOOL DISTRICT, 514 WEST CENTRAL STREET, LOYAL, WI 544463
01/01/2020 12/31/2021NEILLSVILLE ELEMENTARY SCHOOL, 504 EAST 5TH STREET, NEILLSVILLE, WI 544563
01/01/2020 12/31/2021NEILLSVILLE MIDDLE/HIGH SCHOOL, 401 CENTER STREET, NEILLSVILLE, WI 544563
01/01/2020 12/31/2021OWEN-WITHEE SHOOL DISTRICT, 832 WEST 3RD STREET, OWEN, WI 544603
01/01/2020 12/31/2021SCHOOL DISTRICT OF THORP, 605 SOUTH CLARK STREET, THORP, WI 547713
3093CLARK COUNTY COMMUNITY SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/2015
(715) 743-5209
(715) [email protected] VOIGT
County: ClarkNEILLSVILLE, WI 54456517 COURT STREET, ROOM 503
CCS Affiliaton: 09/01/2015Begin: End: Lead:CCS of Clark and Trempealeau Counties
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
1202CLARK COUNTY COMMUNITY SUPPORT PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201904/01/1991
(715) 743-5209
(715) [email protected] VOIGT
County: ClarkNEILLSVILLE, WI 54456517 COURT ST, ROOM 503
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 26 of 224
Mental Health Program Directory By County, City, and Provider Name
OWEN
3208LIVING WELL MENTAL HEALTH CLINIC, LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2018
(715) 229-0331
(715) [email protected] KOPS
County: ClarkOWEN, WI 54460112 N CENTRAL AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 27 of 224
Mental Health Program Directory By County, City, and Provider Name
COLUMBIAPORTAGE
1066ASPEN FAMILY COUNSELING
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/01/2015
(608) 742-3641
(608) [email protected] ERATH
County: ColumbiaPORTAGE, WI 539012639 NEW PINERY ROAD, #1
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020ASPEN FAMILY COUNSELING, 120 3RD STREET, BARABOO, WI 539131
01/01/2019 12/31/2020BARABOO HIGH SCHOOL, 1201 DRAPER ST, BARABOO, WI 539133
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2019 12/31/2020CAMBRIA FRIELAND SCHOOL, 410 E EDGEWATER ST, CAMBRIA, WI 53923
01/01/2019 12/31/2020COLUMBUS SCHOOLS, 200 W SCHOOL ST, COLUMBUS, WI 53925
01/01/2019 12/31/2020LODI SCHOOLS, 1100 SAUK ST, LODI, WI 53555
01/01/2019 12/31/2020MONTELLO SCHOOLS, 222 FOREST LN, MONTELLO, WI 53949
01/01/2019 12/31/2020PARDEEVILLE MIDDLE AND HIGH SCHOOL, 120 OAK ST, PARDEEVILLE, WI 53954
01/01/2019 12/31/2020POYNETTE SCHOOLS, 108 N CLEVELAND ST, POYNETTE, WI 53955
01/01/2019 12/31/2020RANDOLPH SCHOOLS, 110 MEADOWOOD DR, RANDOLPH, WI 53956
01/01/2019 12/31/2020WISCONSIN DELLS SCHOOLS, 520 RACE ST, WISCONSIN DELLS, WI 53965
2898COLUMBIA COUNTY COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202006/25/201804/01/2010
(608) 742-9700
(608) [email protected] STARKS
County: ColumbiaPORTAGE, WI 53901111 E MULLETT ST
CCS Affiliaton: 07/01/2014Begin: End: Lead:Wisconsin River CCS Collaboration
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 06/25/2018 03/31/2020
Services
NO BRANCH LOCATIONS
2670COLUMBIA COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201907/01/2006
(608) 742-9700
(608) [email protected] WOODARD
County: ColumbiaPORTAGE, WI 53901111 E MULLETT ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 28 of 224
Mental Health Program Directory By County, City, and Provider Name
2149COMMUNITY SERVICES ASSOCIATES DBA PAUQUETTE CTR FOR PSYCHOLOGICAL SVCS
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201810/08/1999
(608) 742-4087
(608) [email protected] STEVENS
County: ColumbiaPORTAGE, WI 539012901 HUNTERS TRAIL
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2018 06/30/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 1002 LINCOLN AVE, BARABOO, WI 539132
07/01/2018 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 1343 PARK AVE, COLUMBUS, WI 539252
07/01/2018 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 23295 US HWY 14 WEST, RICHLAND CENTER, WI 535812
12/03/2019 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 2702 INTERNATIONAL LN #102, MADISON, WI 537042
07/01/2018 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 50 PRAIRIE AVE, PRAIRIE DU SAC, WI 535782
07/01/2018 06/30/2020COMM SERV ASSOC DBA PAUQUETTE CTR, 710 NORTH WEBB AVE STE 400, REEDSBURG, WI 53959
2
2905COMPASS COUNSELING
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2010
(608) 745-4990
(608) [email protected] KRAVICK
County: ColumbiaPORTAGE, WI 539011508 NEW PINERY RD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/10/2019 04/30/2021RIO MIDDLE SCHOOL/HIGH SCHOOL, 411 CHURCH ST, RIO, WI 539603
3159JOURNEY MENTAL HEALTH CENTER CSP - COLUMBIA CO
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/31/2016
(608) 745-9721
(608) 745-9720dawn.anderson-mueller@journeymhDAWN ANDERSON-MUELLER
County: ColumbiaPORTAGE, WI 539011440 E WISCONSIN AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 11/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2915TRANSITIONS BEHAVIORAL HEALTH LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2010
(608) 745-1757
(608) [email protected] BECKETT
County: ColumbiaPORTAGE, WI 53901317 DE WITT ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 29 of 224
Mental Health Program Directory By County, City, and Provider Name
CRAWFORDPRAIRIE DU CHIEN
2376CRAWFORD COUNTY COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201805/01/2002
(608) 326-4395
(608) [email protected] MCWILLIAMS
County: CrawfordPRAIRIE DU CHIEN, WI 53821225 N BEAUMONT ROAD #326
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
1259CRAWFORD COUNTY HEALTH & HUMAN SERVICES DEPARTMENT
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201810/01/1975
(608) 326-4395
(608) [email protected] MCWILLIAMS
County: CrawfordPRAIRIE DU CHIEN, WI 53821225 N BEAUMONT ROAD #326
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/09/2018 03/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/09/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
DANEBELLEVILLE
2508FOUNDATIONS COUNSELING CENTER, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2004
(608) 424-9099
(608) [email protected] KELLY-MARTINA
County: DaneBELLEVILLE, WI 53508619 RIVER STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2019 03/31/2021FOUNDATIONS COUNSELING CENTER - BEAVER DAM, 1807 N CENTER ST SUITE 103, BEAVER DAM,
WI 539161
04/01/2019 03/31/2021FOUNDATIONS COUNSELING CENTER - LODI, 109 FIRST ST., LODI, WI 535551
FITCHBURG
3244ABEGGLEN COUNSELING & CONSULTING, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202001/31/201901/31/2019
(608) 416-1535
(608) [email protected] ABEGGLEN
County: DaneFITCHBURG, WI 537112940 CHAPEL VALLEY RD STE 2
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/31/2019 01/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 01/31/2020MADISON EAST HIGH SCHOOL, 2222 EAST WASHINGTON AVE, MADISON, WI 537113
MADISON
3259ANESIS CENTER FOR MARRIAGE AND FAMILY THERAPY
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202008/28/201908/28/2019
(608) 709-1774
(608) [email protected] MCNAIR
County: DaneMADISON, WI 537196417 ODANA RD STE 5
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/31/2019 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/28/2019 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/28/2019 08/31/2020NORTHSIDE, 2801 INTERNATIONAL LANE, MADISON, WI 537041
1053ARC COMMUNITY SERVICES INC MADISON
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/1995
(608) 283-6374
(608) [email protected] FABICK
County: DaneMADISON, WI 537131409 EMIL STREET #100
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 03/01/2019 02/28/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1137CATHOLIC CHARITIES, INC. DIOCESE OF MADISON
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201801/01/1979
(608) 826-8027
(608) [email protected] ROBINSON
County: DaneMADISON, WI 53703615 E WASHINGTON AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/11/2018 04/30/2020INDIVIDUAL & FAMILY COUNSELING, FORT ATKINSON, 211 S MAIN ST STE 102, FORT ATKINSON, WI
535381
10/26/2018 04/30/2020BLACK HAWK MIDDLE SCHOOL, 1402 WYOMING WAY, MADISON, WI 537043
01/29/2019 04/30/2020C H BIRD ELEMENTARY SCHOOL, 1170 N BIRD ST, SUN PRAIRIE, WI 535903
05/01/2018 04/30/2020GLENDALE ELEMENTARY SCHOOL, 1201 TOMPKINS DRIVE, MADISON, WI 537163
05/01/2018 04/30/2020LEOPOLD ELEMENTARY SCHOOL, 2602 POST ROAD, MADISON, WI 537133
05/01/2018 04/30/2020MENDOTA ELEMENTARY SCHOOL, 4002 SCHOOL RD, MADISON, WI 537043
01/29/2019 04/30/2020PATRICK MARSH MIDDLE SCHOOL, 1351 COLUMBUS ST, SUN PRAIRIE, WI 535903
05/01/2018 04/30/2020SCHENK ELEMENTARY SCHOOL, 230 SCHENK STREET, MADISON, WI 537143
05/01/2018 04/30/2020SENNETT MIDDLE SCHOOL, 502 PFLAUM RD, MADISON, WI 537163
01/29/2019 04/30/2020WESTSIDE ELEMENTARY SCHOOL, 1320 BEUNA VISTA DR, SUN PRAIRIE, WI 535903
1174CHILD & FAMILY PSYCHOLOGICAL SERVICES CLINIC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/201908/01/201707/01/1982
(608) 288-1892
(608) [email protected] SCHERZ-BUSCH
County: DaneMADISON, WI 53719437 S YELLOWSTONE DR #218
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2017 07/31/2019
Services
NO BRANCH LOCATIONS
1188CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/1981
(608) 221-3514
(608) [email protected] LUEBKE
County: DaneMADISON, WI 537041716 FORDEM AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
2407CONNECTIONS COUNSELING
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201901/01/2003
(608) 233-2101
(608) 233-2100shelly.dutch@connectionscounselinSHELLY DUTCH
County: DaneMADISON, WI 537055005 UNIVERSITY AVE SUITE #100
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2019 03/31/2021CONNECTIONS COUNSELING, 660 WEST WASHINGTON AVE SUITE 308, MADISON, WI 537032
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Mental Health Program Directory By County, City, and Provider Name
3036DANE COUNTY HUMAN SERVICES CCS
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2015
(608) 242-6413
(608) [email protected] MEISTER
County: DaneMADISON, WI 537041202 NORTHPORT DRIVE
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2646DANE COUNTY HUMAN SERVICES DEPT./JOURNEY MENTAL HEALTH CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2006
(608) 280-2707
(608) [email protected] FLANAGAN
County: DaneMADISON, WI 53715702 WEST MAIN ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 03/01/2019 02/28/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 03/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
1327FAMILY SERVICE MADISON, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201904/01/1977
(608) 252-1333
(608) [email protected] SCHOFF
County: DaneMADISON, WI 53713128 E OLIN AVENUE, #100
Service Begin/End DatesAdm Code
CSAS-PREVENTION DHS 75.04 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
3028INSIGHT COUNSELING & WELLNESS LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/2014
(608) 244-6809
(608) [email protected] KOLKER
County: DaneMADISON, WI 537042021 ATWOOD AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021INSIGHT COUNSELING & WELLNESS, LLC, 2002 ATWOOD AVE SUITE 205, MADISON, WI 537042
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Mental Health Program Directory By County, City, and Provider Name
2392INTEGRATED DEVELOPMENT SERVICES, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201809/01/2002
(608) 833-0126
(608) [email protected] PARA-CREMER
County: DaneMADISON, WI 53719559 ZOR SHRINE PLACE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020IDS - BROOKFIELD, 4125 N 124TH ST, SUITE A & B, BROOKFIELD, WI 530052
10/01/2018 09/30/2020IDS - EAU CLAIRE, 4330 GOLF TERRACE STE 218, EAU CLAIRE, WI 547012
10/01/2018 09/30/2020IDS - FRANKLIN, 5000 - 5002 (F) W. ASHLAND WAY, FRANKLIN, WI 531322
10/01/2018 09/30/2020IDS - NEW RICHMOND, 1477 SOUTH KNOWLES AVE #105, NEW RICHMOND, WI 540172
1596JOURNEY MENTAL HEALTH CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201810/01/1975
(608) 280-2707
(608) [email protected] LETTMAN SHUE
County: DaneMADISON, WI 5371149 KESSEL COURT
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 03/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 02/29/2020JOURNEY MENTAL HEALTH CENTER, INC (JOURNEY EAST), 1320 MENDOTA ST, MADISON, WI 537142
1598JOURNEY MENTAL HEALTH CENTER - FORWARD SOLUTIONS CSP
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201809/01/1990
(608) 280-3185
(608) [email protected] ALBERTSON
County: DaneMADISON, WI 537141320 MENDOTA ST SUITE 120
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2018 10/31/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 11/01/2018
11/29/2019
Services
NO BRANCH LOCATIONS
1599JOURNEY MENTAL HEALTH CENTER GATEWAY COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201909/01/1990
(608) 237-2690
(608) [email protected] KLEIN
County: DaneMADISON, WI 53713208 E OLIN AVE STE 205
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1593JOURNEY MENTAL HEALTH CENTER-COMMUNITY TREATMENT ALTERNATIVES CSP
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201802/01/1992
(608) 280-2775
(608) [email protected] OLSEN
County: DaneMADISON, WI 537042000 FORDEM AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
1553MADISON PSYCHOTHERAPY CENTER LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201811/01/1993
(608) 233-5893
(608) [email protected] ELLEN MILLER
County: DaneMADISON, WI 53705702 N BLACKHAWK AVENUE #205
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020MADISON PSYCHOTHERAPY CENTER, 111 N MAIN ST STE 200, JANESVILLE, WI 535482
10/01/2018 09/30/2020MADISON PSYCHOTHERAPY CENTER, 702 N BLACKHAWK DRIVE STE 102, MADISON, WI 537052
2738MARRIAGE & FAMILY SOLUTIONS LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/08/2007
(608) 203-6696
(608) [email protected] D'ORAZIO
County: DaneMADISON, WI 537197818 BIG SKY DRIVE #101
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
1013MERITER HOSPITAL BEHAVIORAL SERVICES PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201801/01/1984
(608) 417-5334
(608) [email protected] CASE
County: DaneMADISON, WI 53715202 S. PARK STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 12/01/2018 11/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1617MERITER NEWSTART OUTPATIENT CLINIC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201801/01/1988
(608) 417-5334
(608) [email protected] CASE
County: DaneMADISON, WI 537191015 GAMMON LANE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1668MERITER'S CHILD & ADOLESCENT PSYCHIATRIC HOSPITAL
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202011/06/201901/01/1984
(608) 417-5334
(608) [email protected] CASE
County: DaneMADISON, WI 537198102 WELLNESS WAY
Service Begin/End DatesAdm Code
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 11/06/2019 11/30/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 3 DHS 40.11(2)(C) 11/06/2019 11/30/2020
Services
NO BRANCH LOCATIONS
3266NEXT STEPS
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202010/08/201910/08/2019
(605) 252-1333
(608) [email protected] MURPHY
County: DaneMADISON, WI 53713206 EAST OLIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 10/08/2019 10/31/2020
Services
NO BRANCH LOCATIONS
1685NORTHSTAR COUNSELING CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/1991
(608) 270-1965
(608) [email protected] PATTI
County: DaneMADISON, WI 537116506 SCHROEDER RD
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2026OPEN DOOR CENTER FOR CHANGE LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/1996
(608) 827-7223
(608) [email protected] DOUGLAS
County: DaneMADISON, WI 537196502 GRAND TETON PLAZA #102
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020OPEN DOOR CENTER FOR CHANGE, 3324 MILWAUKEE ST C2-C3, MADISON, WI 537142
2309ORION FAMILY SERVICES, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201807/12/2001
(608) 270-0467
(608) [email protected] PARKE
County: DaneMADISON, WI 537196333 ODANA ROAD, #20
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/12/2018 07/31/2020ORION FAMILY SERVICES, 1725 15TH STREET, MONROE, WI 535661
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Mental Health Program Directory By County, City, and Provider Name
1750PROGRAM FOR ASSERTIVE COMMUNITY TREATMENT (PACT)
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/01/1989
(608) 266-3638
(608) [email protected] LANE FREY
County: DaneMADISON, WI 53703600 WILLIAMSON STREET, #A-B
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
3274REFLECTIONS MENTAL HEALTH, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202012/23/201912/23/2019
() -
(608) [email protected] MAHAN-STRUPP
County: DaneMADISON, WI 537132802 COHO STE 203
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/23/2019 12/31/2020
Services
NO BRANCH LOCATIONS
1786REGENT MENTAL HEALTH GROUP
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/1979
(608) 238-1221
(608) [email protected] RILEY
County: DaneMADISON, WI 537196515 WATTS ROAD #206
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
2920ROGERS MEMORIAL HOSPITAL - MADISON PARTIAL HOSPITALIZATION PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/13/2010
(608) 238-4412
(608) [email protected] SCHULTZ
County: DaneMADISON, WI 53711406 SCIENCE DRIVE RM #110 & 200
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 11/01/2019 10/31/2021
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 11/01/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 11/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 11/01/2019 10/31/2021
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 11/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 11/01/2019 10/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 W/TELEHEALTH DHS 40.11(2)(B)
11/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3096SOAR CASE MANAGEMENT
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202006/01/201807/02/2015
(608) 287-0840
(608) [email protected] ZEMLO
County: DaneMADISON, WI 537042132 FORDEM AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
1872ST. MARY'S HOSPITAL MEDICAL CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202001/22/201906/01/1983
(608) 259-5317
(608) [email protected] MIGNON
County: DaneMADISON, WI 53715700 S PARK ST, 6W
Service Begin/End DatesAdm Code
MENTAL HEALTH-INPATIENT DHS 61.71 01/22/2019 05/31/2020
Services
NO BRANCH LOCATIONS
1147THE CENTER FOR CHRISTIAN COUNSELING, CONSULTATION, AND TRAINING INC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/01/1982
(608) 274-8783
(608) [email protected] RANDALL
County: DaneMADISON, WI 537185310 WALL STREET, #500
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020THE CTR CHRISTIAN CNSLNG CONS, 208 E MILWAUKEE AVENUE, FORT ATKINSON, WI 535381
2857THE FAMILY CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201807/02/2009
(608) 664-9854
(608) [email protected] CULVER
County: DaneMADISON, WI 537178025 EXCELSIOR DRIVE, #110
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020YWCA MADISON, 101 E MIFFLIN ST, MADISON, WI 537031
1914THE INTEGRAL PSYCHOLOGY CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/1979
(608) 255-7810
(608) [email protected] CUNNINGHAM
County: DaneMADISON, WI 537111619 MONROE ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1919THE PSYCHOLOGY CLINIC, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/01/1991
(608) 238-1929
(608) [email protected] BLACK, PHD
County: DaneMADISON, WI 53705310 N MIDVALE BOULEVARD #202
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 10/31/2020THE PSYCHOLOGY CLINIC, INC - ODANA, 5555 ODANA RD STE 202, MADISON, WI 537191
11/01/2018 10/31/2020THE PSYCHOLOGY CLINIC, INC - WI DELLS, 1000 HWY 13, WISCONSIN DELLS, WI 539651
11/01/2018 10/31/2020THE PSYCHOLOGY CLINIC, INC - BARABOO, 701 ASH STREET, BARABOO, WI 539132
11/01/2018 10/31/2020THE PSYCHOLOGY CLINIC, INC - PRAIRIE DU SAC, 1190 PRAIRIE ST, PRAIRIE DU SAC, WI 535782
1920THE RAINBOW PROJECT, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201905/01/1988
(608) 255-0457
(608) [email protected] KATO
County: DaneMADISON, WI 53703831 E. WASHINGTON AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021REACH DANE, 2096 RED ARROW TR, MADISON, WI 537111
1940UNIVERSITY OF WI HOSPITALS & CLINICS
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201811/01/1990
(608) 263-9045
(608) [email protected] GREEN
County: DaneMADISON, WI 53713122 E. OLIN AVENUE, #275
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
1953UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201901/01/1987
(608) 662-3050
(608) [email protected] SMITH-HELMENSTINE
County: DaneMADISON, WI 53792600 HIGHLAND AVE, 1085 AOB
Service Begin/End DatesAdm Code
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3228WESTSIDE PSYCHOTHERAPY, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/20/201808/20/2018
(608) 236-4461
(608) [email protected] EUGSTER
County: DaneMADISON, WI 537054513 VERNON BLVD, STE 100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/20/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/20/2018 07/31/2020WESTSIDE PSYCHOTHERAPY, AT CAPITOL LAKES, 333 W MAIN ST, MADISON, WI 537031
08/20/2018 07/31/2020WESTSIDE PSYCHOTHERAPY, LLC ON THE SQUARE, 16 N CARROLL ST, STE 530, MADISON, WI 53713
2
08/20/2018 07/31/2020WESTSIDE PSYCHOTHERAPY, LLC WEST TOWNE, 414 DONOFRIO DR STE 330, MADISON, WI 537192
2000WISCONSIN PSYCHOTHERAPY AND HEALING CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/1993
(608) 288-8977
(608) [email protected] MCKEE
County: DaneMADISON, WI 537196401 ODANA ROAD SUITE 13
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
MC FARLAND
2779COMMON THREADS FAMILY RESOURCE CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201904/01/2008
(608) 838-8988
(608) [email protected] EGGEN
County: DaneMC FARLAND, WI 535584800 IVYWOOD TRAIL
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
MIDDLETON
1220COMMUNITY CARE PROGRAMS, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201902/01/1994
(608) 827-7101
(608) [email protected] SIMON
County: DaneMIDDLETON, WI 535626716 STONE GLEN DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/24/2019 03/31/2021COLUMBIA CO HHS, 111 E MULLETT ST, PORTAGE, WI 539011
04/01/2019 03/31/2021JEFFERSON CO DEPT OF HUMAN SVS, 1541 ANNEX ROAD, JEFFERSON, WI 535491
04/01/2019 03/31/2021ROCK CO DEPT OF HUMAN SVS, 3530 N COUNTY TRK HWY F, JANESVILLE, WI 535471
12/09/2019 03/31/2021SAUK CO HUMAN SVS- THERAPY WITHOUT WALLS, 348 E MAIN ST, REEDSBURG, WI 539591
2/11/2020 Page 40 of 224
Mental Health Program Directory By County, City, and Provider Name
1222COMMUNITY COUNSELING CENTER OF MADISON, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/01/1998
(608) 829-3787
(608) [email protected] OLSON
County: DaneMIDDLETON, WI 535626629 UNIVERSITY AVENUE, #209
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
MONONA
3137ECLIPSE COUNSELING, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/201908/01/201708/01/2016
(608) 221-2586
(608) [email protected] KEENE
County: DaneMONONA, WI 537164915 MONONA DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2017 07/31/2019
Services
NO BRANCH LOCATIONS
1822SAMARITAN COUNSELING CENTER OF SOUTHERN WISCONSIN
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201909/01/1994
(608) 663-0765
(608) 663-0763dfeaster@samaritancounselingcenteDAN FEASTER
County: DaneMONONA, WI 537165900 MONONA DRIVE #100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021WEST MADISON - GOOD SHEPHERD LUTHERAN CHURCH, 5701 RAYMOND RD, MADISON, WI 537111
3010SANKOFA BEHAVIORAL & COMMUNITY HEALTH
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/01/2013
(608) 467-9635
(608) [email protected] HENDERSON, PHD
County: DaneMONONA, WI 537131945 W BROADWAY STE 105
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
1901TELLURIAN OUTPATIENT CLINIC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201904/27/2011
(608) 222-5904
(608) [email protected] CROOKS
County: DaneMONONA, WI 53716300 FEMRITE DR - 2ND FLOOR
Service Begin/End DatesAdm Code
CSAS-INTERVENTION DHS 75.16 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 41 of 224
Mental Health Program Directory By County, City, and Provider Name
OREGON
2513OREGON MENTAL HEALTH SERVICES, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2004
(608) 835-5010
(608) [email protected] SELLA
County: DaneOREGON, WI 53575165 W NETHERWOOD ST, STE A
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 04/30/2021OREGON MENTAL HEALTH SERVICES LLC, 101 FOUNTAIN ST, STE 2, DODGEVILLE, WI 535331
Setting Begin/End DatesNon-Certified School Setting(s)05/01/2019 04/30/2021BARNEVELD SCHOOL K-12, 304 S JONES ST, BARNEVELD, WI 53507
05/01/2019 04/30/2021BELMONT SCHOOL K-12, 646 E LIBERTY ST, BELMONT, WI 53510
05/01/2019 04/30/2021BROOKLYN ELEMENTARY SCHOOL, 204 DIVISION ST, BROOKLYN, WI 53521
05/01/2019 04/30/2021IOWA GRANT SCHOOL K-12, 498 COUNTY RD IG, LIVINGSTON, WI 53554
05/01/2019 04/30/2021MOUNT HOREB HIGH SCHOOL, 305 S 8TH ST, MOUNT HOREB, WI 53572
05/01/2019 04/30/2021MOUNT HOREB MIDDLE SCHOOL, 900 E GARFIELD ST, MOUNT HOREB, WI 53572
05/01/2019 04/30/2021NETHERWOOD KNOLL ELEMENTARY, 276 SODEN DRIVE, FITCHBURG, WI 53575
05/01/2019 04/30/2021OREGON HIGH SCHOOL, 456 N PERRY PARKWAY, OREGON, WI 53575
05/01/2019 04/30/2021OREGON MIDDLE SCHOOL, 601 PLEASANT OAK DRIVE, OREGON, WI 53575
05/01/2019 04/30/2021PECATONICA SCHOOL K-12, 704 CROSS ST, BLANCHARDVILLE, WI 53516
05/01/2019 04/30/2021PRAIRIE VIEW ELEMENTARY SCHOOL, 30 SODEN DRIVE, OREGON, WI 53575
05/01/2019 04/30/2021RIVER VALLEY SCHOOLS K-12, 60 W DALEY ST, SPRING GREEN, WI 53588
05/01/2019 04/30/2021ROME CORNERS INTERMEDIATE SCHOOL, 1111 S PERRY PARKWAY, OREGON, WI 53575
STOUGHTON
2675OCEANHAWK COUNSELING ALTERNATIVES, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/17/2006
(877) 674-2177
(608) [email protected] DAUTE
County: DaneSTOUGHTON, WI 535893185 DEER POINT DR
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
1884STOUGHTON HOSPITAL
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/1997
(608) 873-2339
(608) [email protected] KLEINBROOK
County: DaneSTOUGHTON, WI 53589900 RIDGE STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 09/01/2019 08/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SUN PRAIRIE
2916HEALING HEARTS FAMILY COUNSELING CENTER, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/20/2010
(702) 664-6958
(608) [email protected] ANN ST. GERMAIN
County: DaneSUN PRAIRIE, WI 535901268 W MAIN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
3227MERCYLAND PSYCHIATRY INC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201911/28/2018
(608) 318-2234
(608) [email protected] MOFIKOYA
County: DaneSUN PRAIRIE, WI 53590530 W MAIN STREET #5
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
1742PRAIRIE COUNSELING SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201807/01/1978
(608) 825-4933
(608) [email protected] HUBBARD
County: DaneSUN PRAIRIE, WI 535901460 W MAIN ST #150
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
2868TRIVIUM DBA CROSSROADS COUNSELING CENTER
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201908/18/2009
(608) 837-9191
(608) [email protected] PERRY
County: DaneSUN PRAIRIE, WI 53590722-728 LOIS DR
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 09/01/2019 08/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
09/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
DODGEBEAVER DAM
1018AFFILIATED COUNSELING CENTER, LLC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201911/01/1989
(920) 887-3977
(920) 887-8751officemanager@affiliatedcounselingSANDRA SCHWEFEL-MASSIE
County: DodgeBEAVER DAM, WI 539161807 N CENTER ST, #204
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021AFFILIATED COUNSELING CENTER, LLC, 17 FOREST AVENUE, FOND DU LAC, WI 549351
3106CHURCH HEALTH SERVICES, INC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/17/2015
(920) 887-2322
(920) [email protected] KEMPFER
County: DodgeBEAVER DAM, WI 53916115 N CENTER STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)11/01/2019 10/31/2021BEAVER DAM HIGH SCHOOL, 500 GOULD ST, BEAVER DAM, WI 53916
11/01/2019 10/31/2021BEAVER DAM MIDDLE SCHOOL, 108 FOURTH STREET, BEAVER DAM, WI 53916
11/01/2019 10/31/2021BEAVER DAM USD ADMIN BLDG, 705 MCKINLEY STREET, BEAVER DAM, WI 53916
11/01/2019 10/31/2021DON SMITH LEARNING ACADEMY, 400 E BURNETT STREET, BEAVER DAM, WI 53916
11/01/2019 10/31/2021HORICON JR/SR HIGH SCHOOL, 841 GRAY ST, HORICON, WI 53032
11/01/2019 10/31/2021JEFFERSON ELEMENTARY, 301 BROOK ST, BEAVER DAM, WI 53916
11/01/2019 10/31/2021LINCOLN ELEMENTARY, 210 GOULD ST, BEAVER DAM, WI 53916
11/01/2019 10/31/2021MEADOW VIEW PRIMARY SCHOOL, 601 GRANDVIEW AVE, WAUPUN, WI 53963
11/01/2019 10/31/2021PRAIRIE VIEW ELEMTARY, 510 N CRYSTAL LAKE ROAD, BEAVER DAM, WI 53916
11/01/2019 10/31/2021ROCK RIVER INTERMEDIATE SCHOOL, 451 E SPRING ST, WAUPUN, WI 53963
11/01/2019 10/31/2021SAGES, 200 S DEPOT ST, FOX LAKE, WI 53933
11/01/2019 10/31/2021SO BEAVER DAM ELEMENTARY, W9787 COUNTY ROAD D, BEAVER DAM, WI 53916
11/01/2019 10/31/2021ST KATHERINE DREXEL SCHOOL, 503 S SPRING ST, BEAVER DAM, WI 53916
11/01/2019 10/31/2021WASHINGTON ELEMENTARY, 600 GROVE STREET, BEAVER DAM, WI 53916
11/01/2019 10/31/2021WAUPUN EDUCATION SERVICE CENTER, 900 WILCOX ST, WAUPUN, WI 53963
11/01/2019 10/31/2021WAUPUN JR/SR HIGH SCHOOL, 801 LINCOLN ST, WAUPUN, WI 53963
11/01/2019 10/31/2021WILSON ELEMENTARY, 405 W 3RD STREET, BEAVER DAM, WI 53916
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Mental Health Program Directory By County, City, and Provider Name
JUNEAU
2764DODGE COUNTY HUMAN SERVICES & HEALTH DEPT COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/11/2007
(920) 386-3812
(920) [email protected] SCHULTZ
County: DodgeJUNEAU, WI 53039199 COUNTY RD DF
CCS Affiliaton: 01/01/2015Begin: End: Lead:Lakeshore Recovery Collaborative
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
1282DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201910/01/1975
(920) 386-3812
(920) [email protected] SCHULTZ
County: DodgeJUNEAU, WI 53039199 COUNTY RD DF
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 03/01/2019 02/28/2021
CSAS-EMERGENCY OUTPATIENT DHS 75.05 03/01/2019 02/28/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 03/01/2019 02/28/2021
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021LOMIRA SCHOOL, 1030 4TH ST., LOMIRA, WI 530483
03/01/2019 02/28/2021MAYVILLE HIGH SCHOOL, 500 N. CLARK ST., MAYVILLE, WI 530503
03/01/2019 02/28/2021MAYVILLE MIDDLE SCHOOL, 445 N. HENNINGER ST. RM 3013, MAYVILLE, WI 530503
03/01/2019 02/28/2021ROCK RIVER INTERMEDIATE SCHOOL, 451 E. SPRING ST. RM 153 B, WAUPUN, WI 539633
03/01/2019 02/28/2021VAN BRUNT ELEMENTARY, 611 MILL ST. RM 447, HORICON, WI 530323
2100DODGE COUNTY HUMAN SERVICES AND HEALTH DEPARTMENT CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201901/01/1999
(920) 386-3812
(920) [email protected] SCHULTZ
County: DodgeJUNEAU, WI 53039199 COUNTY ROAD DF
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 45 of 224
Mental Health Program Directory By County, City, and Provider Name
WATERTOWN
1278WATERTOWN PHYSICIAN PRACTICES, LLC DBA WRMC DIRECTIONS COUNSELING CENTER
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202011/01/1981
(920) 262-4813
(920) [email protected] NOVOTNY
County: DodgeWATERTOWN, WI 53098123 HOSPITAL DRIVE SUITE 110
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021WRMC DOCTOR'S COURT CLINIC, 1507 DOCTOR'S COURT, WATERTOWN, WI 530941
01/01/2020 12/31/2021WRMC JOHNSON CREEK CLINIC, 540J VILLAGE WALK LANE, JOHNSON CREEK, WI 530381
01/01/2020 12/31/2021WRMC JUNEAU CLINIC, 334 S WESTERN AVENUE, JUNEAU, WI 530391
01/01/2020 12/31/2021WRMC LAKE MILLS CLINIC, 1025 MULBERRY STREET, LAKE MILLS, WI 535511
01/01/2020 12/31/2021WRMC WATERLOO CLINIC, 111 ANNA ST, WATERLOO, WI 535941
WAUPUN
3216WAUPUN MEMORIAL HOSPITAL INC DBA OUTPATIENT BEHAVIORAL HEALTH AT WAUPUN
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201804/13/2018
(920) 324-8459
(920) [email protected] DOLL
County: DodgeWAUPUN, WI 53963620 W BROWN ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
DOORSTURGEON BAY
2871BAY COUNSELING CLINIC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2009
(920) 743-4681
(920) [email protected] GRAHL
County: DoorSTURGEON BAY, WI 5423550 SOUTH MADISON AVE SUITE 3
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
1250COUNSELING ASSOCIATES OF DOOR COUNTY LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201811/16/1993
(920) 743-1591
(920) [email protected] BURLO
County: DoorSTURGEON BAY, WI 54235312 N 5TH AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020SOUTHERN DOOR SCHOOLS, 2073 COUNTY RD N, BRUSSELS, WI 542043
1283DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202001/01/201901/01/1978
(920) 746-2439
(920) [email protected] ALTEPETER
County: DoorSTURGEON BAY, WI 54235421 NEBRASKA STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 09/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 01/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 01/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2019 09/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 01/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
3057DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES - CCS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/01/2014
(920) 746-2439
(920) [email protected] MCFARLANE
County: DoorSTURGEON BAY, WI 54235421 NEBRASKA STREET
CCS Affiliaton: 12/01/2014Begin: End: Lead:Lakeshore Recovery Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2159DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201910/01/1999
(920) 746-2439
(920) [email protected] FLORES
County: DoorSTURGEON BAY, WI 54235421 NEBRASKA STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
3139DOOR COUNTY MEMORIAL HOSPITAL DBA DOOR COUNTY MEDICAL CENTER CLINICS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/06/2016
(920) 746-0099
(920) [email protected] JOHNSON-GIESE
County: DoorSTURGEON BAY, WI 54235323 S 18TH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021DOOR CO MED CTR CLINIC - ALGOMA, 815 JEFFERSON ST, ALGOMA, WI 542011
09/01/2019 08/31/2021DOOR CO MED CTR CLINIC - FISH CREEK, 3711 HIGHWAY 42, FISH CREEK, WI 542121
09/01/2019 08/31/2021STURGEON BAY HIGH SCHOOL, 1230 MICHIGAN ST, STURGEON BAY, WI 542353
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Mental Health Program Directory By County, City, and Provider Name
DOUGLASSUPERIOR
2964DOUGLAS CO DEPT HLTH & HUMAN SVS/HUMAN DEVELOPMENT CTR
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2010
(715) 392-6055
(715) [email protected] ENGLESON
County: DouglasSUPERIOR, WI 548801500 N 34TH STREET, #100
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 2 DHS 34.2 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
2312HUMAN DEVELOPMENT CENTER MENTAL HEALTH CENTER COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201812/01/1982
(715) 392-6055
(715) [email protected] ENGLESON
County: DouglasSUPERIOR, WI 548801500 N 34TH ST #100
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
3195LAKE SUPERIOR COMMUNITY HEALTH CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/05/2018
(715) 392-1935
(715) [email protected] BYLER
County: DouglasSUPERIOR, WI 548803600 TOWER AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021LSCHC OP MH/AODA OFFICE, 1500 N 34TH STREET #200, SUPERIOR, WI 548802
Setting Begin/End DatesNon-Certified School Setting(s)02/01/2019 01/31/2021BRYANT ELEMENTARY, 1423 CENTRAL AVE, SUPERIOR, WI 54880
02/01/2019 01/31/2021LAKE SUPERIOR ELEMENTARY, 3200 E 3RD ST, SUPERIOR, WI 54880
02/01/2019 01/31/2021NORTHWESTERN HIGH SCHOOL, 4751 S COUNTY RD F, MAPLE, WI 54854
02/01/2019 01/31/2021SOLON SPRINGS, 8993 E BALDWIN AVE, SOLON SPRINGS, WI 54873
02/01/2019 01/31/2021SUPERIOR HIGH SCHOOL, 2600 CATLIN AVE, SUPERIOR, WI 54880
02/01/2019 01/31/2021SUPERIOR MIDDLE SCHOOL, 3626 HAMMOND AVE, SUPERIOR, WI 54880
3105NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - NORTHERN LIGHTS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/11/2016
(715) 394-2869
(715) [email protected] MAURER
County: DouglasSUPERIOR, WI 548801201 N 28TH ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 01/01/2019 12/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
01/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3238SMHS PARTIAL HOSPITALIZATION PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/22/201903/22/2019
(218) 722-0373
(218) [email protected] BRUNETTE
County: DouglasSUPERIOR, WI 548803500 TOWER AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT DHS 61.75 03/22/2019 02/29/2020
Services
NO BRANCH LOCATIONS
3111THE CREATIVE COUNSELING GROUP, LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/11/2015
(715) 718-5607
(715) [email protected] MATTSON
County: DouglasSUPERIOR, WI 548803215 TOWER AVENUE, STE 108
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
DUNNMENOMONIE
1050ARBOR PLACE, INC.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201912/01/1993
(715) 235-4535
(715) [email protected] GAMEZ
County: DunnMENOMONIE, WI 547514076 KOTHLOW AVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 10/01/2019 09/30/2021
CSAS-MEDICALLY MONITORED TREATMENT DHS 75.11 10/01/2019 09/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
CSAS-PREVENTION DHS 75.04 10/01/2019 09/30/2021
CSAS-RESIDENTIAL INTOXICATION MONITORING DHS 75.09 10/01/2019 09/30/2021
CSAS-TRANSITIONAL RESIDENTIAL DHS 75.14 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021ARBOR PLACE, INC - RIVER FALLS, 103 S SECOND ST, RIVER FALLS, WI 540222
1287DUNN COUNTY DEPARTMENT OF HUMAN SERVICES BEHAVIORAL HEALTH SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201801/01/1981
(715) 232-5987
(715) [email protected] WINGER
County: DunnMENOMONIE, WI 547513001 US HWY 12 EAST SUITE 160
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 06/01/2018 05/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 08/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2055DUNN COUNTY DEPARTMENT OF HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/1998
(715) 232-5987
(715) [email protected] WINGER
County: DunnMENOMONIE, WI 547513001 US HWY 12 EAST, SUITE 160
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
1780MAYO CLINIC HEALTH SYSTEM RED CEDAR
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/01/1992
(715) 233-7897
(715) [email protected] FISCHER
County: DunnMENOMONIE, WI 547512411 STOUT ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2660NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - MENOMONIE
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/2006
(888) 293-7837
(715) [email protected] MAURER
County: DunnMENOMONIE, WI 54751402 TECHNOLOGY DR E
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 03/01/2018 02/29/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
03/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
EAU CLAIREALTOONA
2733AUTISM AND BEHAVIOR CENTER, INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201805/29/2007
(715) 598-7123
(715) [email protected] WEGNER
County: Eau ClaireALTOONA, WI 54720919 S HILLCREST PKWY
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
EAU CLAIRE
1119CAILLIER CLINIC, LTD.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201801/01/1983
(715) 836-0065
(715) [email protected] CAILLIER
County: Eau ClaireEAU CLAIRE, WI 547012620 STEIN BLVD STE B
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020CAILLIER CLINIC LTD., 700 WOLSKE BAY RD, STE 210, MENOMONIE, WI 547511
12/01/2018 11/30/2020CAILLIER CLINIC, LTD, 138 N. MAIN ST SUITE 206, RICE LAKE, WI 548682
Setting Begin/End DatesNon-Certified School Setting(s)12/01/2018 11/30/2020COLFAX MIDDLE SCHOOL, 601 UNIVERSITY AVE, COLFAX, WI 54730
1186CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202009/01/1983
(715) 835-8112
(715) [email protected] OERTER
County: Eau ClaireEAU CLAIRE, WI 547012004 HIGHLAND AVE SUITE M
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021BLACK RIVER FALLS HEAD START CENTER, 905 ALDER ST, BLACK RIVER FALLS, WI 546151
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2020 12/31/2021ALTOONA HIGH SCHOOL, 711 7TH STREET WEST, ALTOONA, WI 54720
01/01/2020 12/31/2021ALTOONA MIDDLE SCHOOL, 1903 BARTLETT AVE, ALTOONA, WI 54720
01/01/2020 12/31/2021LOCUST LANE ELEMENTARY, 3245 LOCUST LANE, EAU CLAIRE, WI 54703
01/01/2020 12/31/2021MANZ ELEMENTARY, 1000 EAST FILLMORE AVE, EAU CLAIRE, WI 54701
01/01/2020 12/31/2021ROOSEVELT ELEMENTARY SCHOOL, 3010 8TH STREET, EAU CLAIRE, WI 54703
01/01/2020 12/31/2021SAM DAVEY ELEMENTARY, 3000 STARR AVE, EAU CLAIRE, WI 54703
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Mental Health Program Directory By County, City, and Provider Name
3240CLINIC FOR CHRISTIAN COUNSELING, LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202005/01/2018
(715) 832-6680
(715) [email protected] STEIN
County: Eau ClaireEAU CLAIRE, WI 547013410 OAKWOOD MALL DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021CLINIC FOR CHRISTIAN COUNSELING, LLC, 12 W MARSHALL ST, STE 201, RICE LAKE, WI 548682
01/01/2020 12/31/2021CRESTVIEW ACADEMY, 1519 PETERSON AVE, EAU CLAIRE, WI 547033
2815EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/09/2008
(715) 831-5658
(715) [email protected] FEDIE
County: Eau ClaireEAU CLAIRE, WI 54701721 OXFORD AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
3112EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES - CCS PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2016
(715) 831-5784
(715) [email protected] STEIN
County: Eau ClaireEAU CLAIRE, WI 54703721 OXFORD AVENUE
CCS Affiliaton: 01/01/2019Begin: End: Lead:BESt CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
1293EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201801/01/1990
(715) 831-5783
(715) [email protected] CABLE
County: Eau ClaireEAU CLAIRE, WI 54703721 OXFORD AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3178ENIGMA PSYCHOLOGICAL INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202003/01/201909/01/2017
(715) 598-6222
(715) [email protected] GIRARD
County: Eau ClaireEAU CLAIRE, WI 547014330 GOLF TERRACE #209
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 08/31/2020
Services
NO BRANCH LOCATIONS
2993GREAT LAKES BEHAVIORAL HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201903/01/2013
(715) 834-9954
(715) [email protected] PLOTZ
County: Eau ClaireEAU CLAIRE, WI 54703550 NORTH DEWEY STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021MILWAUKEE ACADEMY, 8915 W CAPITOL DR, MILWAUKEE, WI 532221
Setting Begin/End DatesNon-Certified School Setting(s)09/01/2019 08/31/2021EAU CLAIRE ACADEMY, 550 N DEWEY ST, EAU CLAIRE, WI 54703
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Mental Health Program Directory By County, City, and Provider Name
2797LSS OF WI & UPPER MI FAMILY PRESERVATION PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/30/2008
(715) 838-8423
(715) [email protected] CHRISTIANSON
County: Eau ClaireEAU CLAIRE, WI 54701120 S BARSTOW STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
07/01/2019 06/30/2021ABBOTSFORD ELEMENTARY SCHOOL, 510 W. HEMLOCK ST, ABBOTSFORD, WI 54405
07/01/2019 06/30/2021ABBOTSFORD MIDDLE AND HIGH SCHOOL, 307 N 4TH AVE, ABBOTSFORD, WI 54405
07/01/2019 06/30/2021ALTOONA ELEMENTARY SCHOOL, 157 BARTLETT AVE, ALTOONA, WI 54720
07/01/2019 06/30/2021ALTOONA HIGH SCHOOL, 711 7TH ST W, ALTOONA, WI 54720
07/01/2019 06/30/2021ALTOONA MIDDLE SCHOOL, 1903 BARTLETT AVE, ALTOONA, WI 54720
07/01/2019 06/30/2021BARRON HIGH SCHOOL, 1050 EAST WOODLAND AVE, BARRON, WI 54812
07/01/2019 06/30/2021BLOOMER ELEMENTARY, 401 8TH STREET, BLOOMER, WI 54724
07/01/2019 06/30/2021BLOOMER HIGH SCHOOL, 1310 17TH AVE, BLOOMER, WI 54724
07/01/2019 06/30/2021BLOOMER MIDDLE SCHOOL, 600 JACKSON ST, BLOOMER, WI 54724
07/01/2019 06/30/2021CADDY WOODLAWN ELEMENTARY SCHOOL, 650 AUTH ST, DURAND, WI 54736
07/01/2019 06/30/2021CADOTT ELEMENTARY SCHOOL, 463 E MILLS ST, CADOTT, WI 54727
07/01/2019 06/30/2021CADOTT JUNIOR/SENIOR HIGH SCHOOL, 426 MYRTLE ST, CADOTT, WI 54727
07/01/2019 06/30/2021CAMERON ELEMENTARY SCHOOL, 919 NORTH 2ND ST, CAMERON, WI 54822
07/01/2019 06/30/2021CAMERON HIGH SCHOOL, 750 1ST ST, CAMERON, WI 54822
07/01/2019 06/30/2021CAMERON MIDDLE SCHOOL, 700 SOUTH 1ST ST, CAMERON, WI 54822
07/01/2019 06/30/2021CHETEK-WEYERHAUSER MIDDLE AND HIGH SCHOOL, 1001 KNAPP ST, CHETEK, WI 54728
07/01/2019 06/30/2021CHIPPEWA FALLS HIGH SCHOOL, 735 TERRILL ST, CHIPPEWA FALLS, WI 54729
07/01/2019 06/30/2021CHIPPEWA FALLS MIDDLE SCHOOL, 750 TROPICANA BLVD, CHIPPEWA FALLS, WI 54729
07/01/2019 06/30/2021CORNELL ELEMENTARY, 111 SOUTH 4TH STREET, CORNELL, WI 54732
07/01/2019 06/30/2021CORNELL MIDDLE/HIGH SCHOOL, 708 BRIDGE STREET, CORNELL, WI 54732
07/01/2019 06/30/2021DELONG MIDDLE SCHOOL, 2000 VINE ST, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021DURAND-ARKANSAW MIDDLE/HIGH SCHOOL, 604 7TH AVE, DURAND, WI 54736
07/01/2019 06/30/2021GILMAN ELEMENTARY AND HIGH SCHOOL, 325 N. 5TH AVE., GILMAN, WI 54433
07/01/2019 06/30/2021GRANTON ELEMENTARY, MIDDLE, AND HIGH SCHOOL, 217 N MAIN ST, GRANTON, WI 54436
07/01/2019 06/30/2021GRANTSBURG MIDDLE SCHOOL, 500 E JAMES AVE, GRANTSBURG, WI 54840
07/01/2019 06/30/2021HAUGEN ELEMENTARY, MIDDLE AND HIGH SCHOOL, 615 WEST 5TH ST, HAUGEN, WI 54841
07/01/2019 06/30/2021HILLTOP ELEMENTARY SHOOL, 202 CAMERON RD, RICE LAKE, WI 54868
07/01/2019 06/30/2021HOLY GHOST ELEMENTARY SCHOOL, 436 MAIN ST, CHIPPEWA FALLS, WI 54729
07/01/2019 06/30/2021LADYSMITH ELEMENTARY SCHOOL, 115 E 6TH ST S, LADYSMITH, WI 54848
07/01/2019 06/30/2021LADYSMITH MIDDLE AND HIGH SCHOOL, 1700 EDGEWOOD AVE E, LADYSMITH, WI 54848
07/01/2019 06/30/2021LONGFELLOW ELEMENTARY SCHOOL, 500 BALCOM ST, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021MANZ ELEMENTARY SCHOOL, E FILLMORE AVE, EAU CLAIRE, WI 54701
07/01/2019 06/30/2021MEMORIAL HIGH SCHOOL, 2225 KEITH ST, EAU CLAIRE, WI 54701
07/01/2019 06/30/2021NEILLSVILLE ELEMENTARY SCHOOL, 614 EAST 5TH ST, NEILLSVILLE, WI 54456
07/01/2019 06/30/2021NEILLSVILLE MIDDLE AND HIGH SCHOOL, 401 CENTER ST, NEILLSVILLE, WI 54456
07/01/2019 06/30/2021NEW AUBURN ELEMENTARY, MIDDLE, AND HIGH SCHOOL, 704 N EAST ST, NEW AUBURN, WI 54757
07/01/2019 06/30/2021NORTH HIGH SCHOOL, 1801 PIEDMONT AVENUE, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021NORTHSTAR MIDDLE SCHOOL, 2711 ABBE HILL DR, EAU CLAIRE, WI 54701
07/01/2019 06/30/2021NORTHWOODS ELEMENTARY SCHOOL, 3600 NORTHWOODS LN, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021NOTRE DAME MIDDLE SCHOOL/MCDONNELL HIGH SCHOOL, 1316 BEL AIR BLVD, CHIPPEWA FALLS, WI 54729
07/01/2019 06/30/2021OSSEO-FAIRCHILD ELEMENTARY SCHOOL, 513025 15TH ST, OSSEO, WI 54758
07/01/2019 06/30/2021OSSEO-FAIRCHILD MIDDLE AND HIGH SCHOOL, 5085 EAST ST, OSSEO, WI 54758
07/01/2019 06/30/2021PUTNAM ELEMENTARY SCHOOL, 633 W MACARTHUR AVE, EAU CLAIRE, WI 54701
07/01/2019 06/30/2021RICE LAKE HIGH SCHOOL, 305 WISCONSIN AVENUE, RICE LAKE, WI 54868
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Mental Health Program Directory By County, City, and Provider Name
07/01/2019 06/30/2021RICE LAKE MIDDLE SCHOOL, 204 CAMERON RD, RICE LAKE, WI 54868
07/01/2019 06/30/2021RIDGELAND/DALLAS SCHOOLS, 315 MAIN STREET, RIDGELAND, WI 54763
07/01/2019 06/30/2021RIVER HEIGHTS ELEMENTARY SCHOOL, 615 24TH AVE W, MENOMONIE, WI 54751
07/01/2019 06/30/2021RIVERVIEW MIDDLE SCHOOL, 135 WEST RIVER AVE, BARRON, WI 54812
07/01/2019 06/30/2021ROSELAWN ELEMENTARY SCHOOL, 1201 6TH ST, CHETEK, WI 54728
07/01/2019 06/30/2021SAM DAVEY ELEMENTARY SCHOOL, 3000 STARR AVE, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021SHELL LAKE ELEMENTARY, 31 3RD ST, SHELL LAKE, WI 54871
07/01/2019 06/30/2021SHELL LAKE MIDDLE AND HIGH SCHOOL, 271 HWY 63, SHELL LAKE, WI 54871
07/01/2019 06/30/2021SHERMAN ELEMENTARY SCHOOL, 3110 W VINE ST, EAU CLAIRE, WI 54703
07/01/2019 06/30/2021STANLEY-BOYD ELEMENTARY, MIDDLE AND HIGH SCHOOL, 507 EAST 1ST AVENUE, STANLEY, WI 54768
07/01/2019 06/30/2021TAINTER ELEMENTARY SCHOOL, 2201 CARRIE AVENUE, RICE LAKE, WI 54868
07/01/2019 06/30/2021THORP ELEMENTARY, MIDDLE AND HIGH SCHOOL, 605 SOUTH CLARK STREET, THORP, WI 54771
07/01/2019 06/30/2021WOODLAND ELEMENTARY SCHOOL, 808 EAST WOODLAND AVE, BARRON, WI 54812
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Mental Health Program Directory By County, City, and Provider Name
1562MARRIAGE AND FAMILY HEALTH SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201809/01/1983
(715) 832-0771
(715) [email protected] SCHULZ-JOHNSTON
County: Eau ClaireEAU CLAIRE, WI 547012925 MONDOVI ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020MARRIAGE & FAMILY HEALTH SERVICES, 132 W COLUMBIA STREET, CHIPPEWA FALLS, WI 547291
11/01/2018 04/30/2020MARRIAGE AND FAMILY HEALTH SERVICES, LTD, 403 3RD AVE W, DURAND, WI 547361
05/01/2018 04/30/2020MARRIAGE & FAMILY HEALTH SERVICES, 105 WEST AVENUE, RICE LAKE, WI 548682
05/01/2018 04/30/2020MARRIAGE & FAMILY HEALTH SERVICES, 2910 ENLOE ST, HUDSON, WI 540162
05/01/2018 04/30/2020BLOOMER ELEMENTARY SCHOOL, 401 8TH AVENUE, BLOOMER, WI 547243
05/01/2018 04/30/2020BLOOMER HIGH SCHOOL, 1310 17TH AVENUE, BLOOMER, WI 547243
05/01/2018 04/30/2020BLOOMER MIDDLE SCHOOL, 600 JACKSON ST, BLOOMER, WI 547243
05/01/2018 04/30/2020FALL CREEK ELEM, MIDDLE & HIGH SCHOOL, 336 E. HOOVER AVE., FALL CREEK, WI 547423
05/01/2018 04/30/2020MFHS AUGUSTA ELEM. MIDDLE AND HIGH SCHOOL, E19320 BARTIG ROAD, AUGUSTA, WI 547223
05/01/2018 04/30/2020MFHS- BARRON MIDDLE & HIGH SCHOOL, 1050 E WOODLAND AVE, BARRON, WI 548123
05/01/2018 04/30/2020MFHS- DELONG MIDDLE SCHOOL, 2000 VINE ST, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- ELEVA STRUM CENTRAL MIDDLE & HIGH SCHOOL, W 23597 US HWY 10, STRUM, WI 547703
05/01/2018 04/30/2020MFHS- FLYNN ELEMENTARY, 1430 LEE ST, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- HALMSTAD ELEMENTARY, 565 E SOUTH AVE, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS- LAKESHORE ELEMENTARY, 711 LAKE STREET, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- LONGFELLOW ELEMENTARY, 500 BALCOM ST, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- MEMORIAL HIGH SCHOOL, 2225 KEITH ST, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS- NORHTSTAR MIDDLE SCHOOL, 2711 ABBE HILL DR, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- NORTH HIGH SCHOOL, 1801 PIEDMONT RD, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS- NORTHWOODS ELEMENTARY, 3600 NORTHWOODS, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS- OAK LAWN ELEMENTARY SCHOOL, 500 21ST STREET SOUTH, MENOMONIE, WI 547513
05/01/2018 04/30/2020MFHS- PUTNAM HEIGHTS ELEMENTARY, 633 W MACARTHUR AVE, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS- SOUTH MIDDLE SCHOOL, 2115 MITSCHER AVE, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS-CAMERON ELEMENTARY SCHOOL, 600 WISCONSIN AVENUE, CAMERON, WI 548223
05/01/2018 04/30/2020MFHS-CAMERON HIGH SCHOOL, 750 SOUTH 1ST STREET, CAMERON, WI 548223
05/01/2018 04/30/2020MFHS-CAMERON MIDDLE SCHOOL, 700 SOUTH 1ST STREET, CAMERON, WI 548223
05/01/2018 04/30/2020MFHS-CHIPPEWA FALLS HIGH SCHOOL, 735 TERRILL STREET, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-CHIPPEWA FALLS MIDDLE SCHOOL, 750 TROPICANA, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-CHIPPEWA VALLEY HIGH SCHOOL, 2820 E PARK AVENUE, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-CUMBERLAND ELEMENTARY SCHOOL, 1530 2ND AVENUE, CUMBERLAND, WI 548293
05/01/2018 04/30/2020MFHS-CUMBERLAND HIGH SCHOOL, 1000 8TH AVENUE, CUMBERLAND, WI 548293
05/01/2018 04/30/2020MFHS-CUMBERLAND MIDDLE SCHOOL, 980 8TH AVENUE, CUMBERLAND, WI 548293
05/01/2018 04/30/2020MFHS-DURAND MIDDLE & HIGH SCHOOL, 604 - 7TH AVE. EAST, PO BOX 190, DURAND, WI 547363
05/01/2018 04/30/2020MFHS-ELK MOUND HIGH SCHOOL, 405 UNIVERSITY ST., ELK MOUND, WI 547393
05/01/2018 04/30/2020MFHS-ELK MOUND MIDDLE SCHOOL, 302 UNIVERSITY ST., ELK MOUND, WI 547393
05/01/2018 04/30/2020MFHS-ELLSWORTH HIGH SCHOOL, 323 HILLCREST STREET, ELLSWORTH, WI 540113
05/01/2018 04/30/2020MFHS-ELLSWORTH MIDDLE SCHOOL, 312 WEST PANTHER DRIVE, ELLSWORTH, WI 540113
05/01/2018 04/30/2020MFHS-HAUGEN ELEMENTARY, 615 W 5TH STREET, HAUGEN, WI 548413
05/01/2018 04/30/2020MFHS-HILCREST ELEMENTARY, 1200 MILES STREET, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-HILLCREST ELEMENTARY, 350 SOUTH GRANT STREET, ELLSWORTH, WI 540113
05/01/2018 04/30/2020MFHS-HILLTOP ELEMENTARY, 202 CAMERON ROAD, RICE LAKE, WI 548683
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Mental Health Program Directory By County, City, and Provider Name
05/01/2018 04/30/2020MFHS-JIM FALLS ELEMENTARY, 13643 - 198TH STREET, JIM FALLS, WI 547483
05/01/2018 04/30/2020MFHS-MEADOWVIEW ELEMENTARY, 4714 FAIRFAX STREET, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS-MENOMONIE MIDDLE SCHOOL, 920 21ST STREET SE, MENOMONIE, WI 547513
05/01/2018 04/30/2020MFHS-MEYER MIDDLE SCHOOL, 230 N. 9TH ST., RIVER FALLS, WI 540223
05/01/2018 04/30/2020MFHS-MOUND VIEW ELEMENTARY SCHOOL, 455 UNIVERSITY ST., ELK MOUND, WI 547393
05/01/2018 04/30/2020MFHS-PARKVIEW ELEMENTARY, 501 JEFFERSON AVENUE, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-PRAIRIE VIEW ELEMENTARY, W 7375 - 170TH AVENUE, HAGER CITY, WI 540143
05/01/2018 04/30/2020MFHS-RICE LAKE HIGH SCHOOL, 30 SOUTH WISCONSIN, RICE LAKE, WI 548683
05/01/2018 04/30/2020MFHS-RICE LAKE MIDDLE SCHOOL, 204 CAMERON ROAD, RICE LAKE, WI 548683
05/01/2018 04/30/2020MFHS-RIVER FALLS HIGH SCHOOL, 818 CEMETERY RD., RIVER FALLS, WI 540223
05/01/2018 04/30/2020MFHS-ROBBINS ELEMENTARY, 3832 E. HAMILTON AVENUE, EAU CLAIRE, WI 547013
05/01/2018 04/30/2020MFHS-ROCKY BRANCH ELEMENTARY SCHOOL, 1415 S. BARTOSH LN., RIVER FALLS, WI 540223
05/01/2018 04/30/2020MFHS-SHERMAN ELEMENTARY, 3110 VINE STREET, EAU CLAIRE, WI 547033
05/01/2018 04/30/2020MFHS-SOUTHVIEW ELEMENTARY, 615 A STREET, CHIPPEWA FALLS, WI 547293
05/01/2018 04/30/2020MFHS-WAKANDA ELEMENTARY SCHOOL, 1801 WAKANDA STREET NE, MENOMONIE, WI 547513
05/01/2018 04/30/2020MFHS-WOODLAND ELM SCHOOL, 808 E WOODLAND AVE, BARRON, WI 548123
05/01/2018 04/30/2020MHFS-BOYCEVILLE MIDDLE & HIGH SCHOOL, 1003 EAST STREET, BOYCEVILLE, WI 547253
05/01/2018 04/30/2020TIFFANY CREEK ELEMENTARY SCHOOL, 161 EAST STREET, BOYCEVILLE, WI 547253
05/01/2018 04/30/2020WINTER SCHOOL DISTRICT, 6585 W. GROVE STREET, WINTER, WI 548963
1511MAYO CLINIC HEALTH SYSTEM - EAU CLAIRE HOSPITAL, INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201806/01/1981
(715) 838-3649
(715) [email protected] PHILLIPS
County: Eau ClaireEAU CLAIRE, WI 547031221 WHIPPLE STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 12/01/2018 11/30/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 12/01/2018 11/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1512MAYO CLINIC HEALTH SYSTEM EAU CLAIRE
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201910/01/1981
(715) 838-3032
(715) 838-5369
EVE FISCHER
County: Eau ClaireEAU CLAIRE, WI 547031221 WHIPPLE STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 01/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020MAYO CLINIC HEALTH SYSTEMS - CHIPPEWA FALLS OFFICE, 611 1ST AVENUE, CHIPPEWA FALLS,
WI 547291
01/01/2019 12/31/2020MAYO CLINIC HEALTH SYSTEM NORTHLAND, 331 S MAIN STREET, RICE LAKE, WI 548682
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Mental Health Program Directory By County, City, and Provider Name
3147MOSAIC COUNSELING GROUP LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/16/2016
(715) 514-0272
(715) 514-0455info@mosaicprofessionalcounselingKELLY CARPENTER
County: Eau ClaireEAU CLAIRE, WI 547013430 OAKWOOD MALL DRIVE STE 200
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2947SACRED HEART BEHAVIORAL HEALTH CLINIC DBA PREVEA HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/31/2011
(715) 717-5898
(715) [email protected] SIMONSON
County: Eau ClaireEAU CLAIRE, WI 547012119 HEIGHTS DRIVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2019 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 10/11/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/11/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier10/11/2019 09/30/2020PREVEA CANCER CTR AT HSHS SACRED HEART HOSP, 900 W CLAIREMONT AVE, EAU CLAIRE, WI
547011
10/11/2019 09/30/2020PREVEA HEALTH FAMILY MEDICINE, 617 W CLAIREMONT AVE, EAU CLAIRE, WI 547011
10/01/2018 09/30/2020CHIPPEWA FALLS CLINIC, 2449 COUNTY HWY I, CHIPPEWA FALLS, WI 547292
10/11/2019 09/30/2020PREVEA ALTOONA MEDICAL OFFICE BLDG, 3119 WOODMAN DR, ALTOONA, WI 547202
01/01/2019 09/30/2020PREVEA LADYSMITH HEALTH CENTER, 1101 W LAKE AVE, LADYSMITH, WI 548482
10/01/2018 09/30/2020RICE LAKE CLINIC, 1051 WEST AVENUE, RICE LAKE, WI 548682
10/11/2019 09/30/2020LAKE HOLCOMBE ELEM/HIGH SCHOOL, 27331 262ND AVE, HOLCOMBE, WI 547453
Setting Begin/End DatesNon-Certified School Setting(s)10/01/2018 09/30/2020CHIPPEWA FALLS HIGH, 735 TERRIL ST, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020CHIPPEWA FALLS MIDDLE, 750 TROPICANA BLVD, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020CHIPPEWA VALLEY HIGH, 2820 E PARK AVE, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020CHIPPEWA VALLEY MONTESSORI, 400 CAMERON ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020DELONG MIDDLE, 2000 VINE ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020ECASD EARLY LEARNING PROGRAM, 3031 EPIPHANY LANE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020FLYNN ELEMENTARY, 1430 LEE ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020HALMSTAD ELEMENTARY, 565 E SOUTH AVE, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020HILLCREST ELEMENTARY, 1200 MILES ST, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020JIM FALLS ELEMENTARY, 13643 198TH ST, JIM FALLS, WI 54748
10/01/2018 09/30/2020LAKESHORE ELEMENTARY, 711 LAKE ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020LOCUST LANE ELEMENTARY, 3245 LOCUST LANE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020LONGFELLOW ELEMENTARY, 500 BALCOM, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020MANZ ELEMENTARY, 1000 E FILMORE AVE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020MCKINLEY CHARTER, 1266 MCKINLEY RD, EAU CLAIRE, WI 54703
10/01/2018 09/30/2020MEADOWVIEW ELEMENTARY, 4714 FAIRFAX, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020MEMORIAL HIGH, 2225 KEITH ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020NORTH HIGH, 1801 PIEDMONT RD, EAU CLAIRE, WI 54703
10/01/2018 09/30/2020NORTHSTAR MIDDLE, 2711 ABBE HILL DR, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020NORTHWOODS ELEMENTARY, 3600 NORTHWOODS LANE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020PARKVIEW ELEMENTARY, 501 JEFFERSON AVE, CHIPPEWA FALLS, WI 54729
10/01/2018 09/30/2020PUTNAM HEIGHTS ELEMENTARY, 633 W MACARTHUR AVE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020ROBBINS ELEMENTARY, 3832 E HAMILTON AVE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020ROOSEVELT ELEMENTARY, 3010 8TH ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020SAM DAVEY ELEMENTARY, 3000 STARR AVE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020SHERMAN ELEMENTARY, 3110 W VINE ST, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020SOUTH MIDDLE, 2115 MITSCHER AVE, EAU CLAIRE, WI 54701
10/01/2018 09/30/2020SOUTHVIEW ELEMENTARY, 615 A STREET, CHIPPEWA FALLS, WI 54729
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Mental Health Program Directory By County, City, and Provider Name
10/01/2018 09/30/2020STILLSON, 17250 CTY HWY J, CHIPPEWA FALLS, WI 54729
2029SACRED HEART HOSPITAL
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201902/01/1982
(715) 717-4996
(715) [email protected] SIMONSON
County: Eau ClaireEAU CLAIRE, WI 54701900 W. CLAIREMONT AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 01/01/2019 12/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
1408SYNERGY GROUP OF EAU CLAIRE, SC DBA VANTAGE POINT CLINIC & ASSESSMENT CENTER
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201808/01/1990
(715) 834-3174
(715) [email protected] BJERKE
County: Eau ClaireEAU CLAIRE, WI 547012005 HIGHLAND AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020SYNERGY GROUP EAU CLAIRE DBA VANTAGE POINT CLINIC, 1443 B EAST DIVISION AVE, BARRON,
WI 548122
09/01/2018 08/31/2020SYNERGY GROUP EAU CLAIRE DBA VANTAGE POINT CLINIC, 420 S BARSTOW STREET, #3, EAU CLAIRE, WI 54701
2
2440WISCONSIN EARLY AUTISM PROJECT, INC.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/201906/01/201705/12/2003
(715) 833-1666
(715) [email protected] SEDLACEK
County: Eau ClaireEAU CLAIRE, WI 547012125 HEIGHTS DRIVE SUITE 2F
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2017 05/31/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
FOND DU LACFOND DU LAC
2226AGNESIAN HEALTHCARE DBA DOLL AND ASSOCIATES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/05/2000
(920) 907-8209
(920) [email protected] ROGERS-DOLL
County: Fond Du LacFOND DU LAC, WI 5493540 CAMELOT DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021TREFFERT CENTER, 371 E 1ST STREET, FOND DU LAC, WI 549352
2680FOND DU LAC COUNTY DEPARTMENT OF COMMUNITY PROGRAMS CCS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201907/18/2006
(920) 929-3129
(920) [email protected] FOUST
County: Fond Du LacFOND DU LAC, WI 54935459 E FIRST STREET
CCS Affiliaton: 01/01/2018Begin: End: Lead:Northeastern Regional CCS Consortium V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
1350FOND DU LAC COUNTY DEPT OF COMMUNITY PROGRAMS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201807/01/1978
(920) 929-3129
(920) [email protected] VANEVENHOVEN
County: Fond Du LacFOND DU LAC, WI 54935459 E FIRST STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 03/01/2018 02/29/2020
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
CSAS-PREVENTION DHS 75.04 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 03/01/2018 02/29/2020
MENTAL HEALTH-INPATIENT DHS 61.71 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
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1847ST AGNES HOSPITAL BEHAVIORAL HEALTH SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201805/01/1980
(920) 926-8933
(920) [email protected] DOLL
County: Fond Du LacFOND DU LAC, WI 54935430 EAST DIVISION STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2018 12/31/2019
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 01/01/2018 12/31/2019
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 01/01/2018 12/31/2019
CSAS-MEDICALLY MONITORED TREATMENT DHS 75.11 01/01/2018 12/31/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2018 12/31/2019
CSAS-TRANSITIONAL RESIDENTIAL DHS 75.14 01/01/2018 12/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2018 12/31/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 01/01/2018 12/31/2019
MENTAL HEALTH-INPATIENT DHS 61.71 01/01/2018 12/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2018 12/31/2019AGNESIAN AT MARR, 21 S MARR STREET, FOND DU LAC, WI 549352
01/01/2018 12/31/2019ST AGNES HOSPITAL BEHAVIORAL HEALTH, 845 PARKSIDE, RIPON, WI 549712
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Mental Health Program Directory By County, City, and Provider Name
FORESTCRANDON
1351FOREST COUNTY POTAWATOMI BEHAVIORAL HEALTH DEPARTMENT
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/1994
(715) 478-4493
(715) [email protected] SHINE
County: ForestCRANDON, WI 545208201 MISH KO SWEN DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 04/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
GRANTLANCASTER
3265EMPOWERMENT COUNSELING, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202011/07/201911/07/2019
(605) 535-6862
(608) 723-4433samantha@empowermentcounselinSAMANTHA LEIBFRIED
County: GrantLANCASTER, WI 53813702 S MADISON ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/07/2019 11/30/2020
Services
NO BRANCH LOCATIONS
1943UNIFIED COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201910/01/1975
(608) 723-4417
(608) [email protected] KNAPP
County: GrantLANCASTER, WI 53813200 W ALONA LANE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 07/01/2019 06/30/2021
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 07/01/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2019 11/29/2019
CSAS-PREVENTION DHS 75.04 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 07/01/2019 06/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 07/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021UNIFIED COMMUNITY SERVICES, 1122 PROFESSIONAL DRIVE, DODGEVILLE, WI 535332
1941UNIFIED COMMUNITY SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201807/01/1994
(608) 723-4417
(608) [email protected] KNAPP
County: GrantLANCASTER, WI 53813200 W. ALONA LANE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 10/01/2018 09/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 06/24/2019
11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020UNIFIED COMMUNITY SERVICES - CSP, 1122 PROFESSIONAL DRIVE, DODGEVILLE, WI 535331
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Mental Health Program Directory By County, City, and Provider Name
PLATTEVILLE
1738PLATTEVILLE FAMILY RESOURCE CENTER, INC.
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201809/08/1995
(608) 348-4191
(608) [email protected] K. WRUBLE
County: GrantPLATTEVILLE, WI 538181075 N ELM STREET, #120
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020PLATTEVILLE FAMILY RESOURCE CENTER - MOUNT HOREB O, 1406 SPRINGDALE ST. SUITE 102,
MOUNT HOREB, WI 535721
10/01/2018 09/30/2020PLATTEVILLE FAMILY RESOURCE CENTER, INC, 219 W MAPLE STREET, LANCASTER, WI 538131
10/01/2018 09/30/2020PLATTEVILLE FAMILY RESOURCE CENTER INC., 218 E SWAYNE ST, STE 200, DODGEVILLE, WI 53533
2
Setting Begin/End DatesNon-Certified School Setting(s)01/15/2019 09/30/2020NEAL WILKINS EARLY LEARNING SCHOOL, 425 BROADWAY ST, PLATTEVILLE, WI 53818
01/15/2019 09/30/2020PLATTEVILLE HIGH SCHOOL, 710 E MADISON ST, PLATTEVILLE, WI 53818
01/15/2019 09/30/2020PLATTEVILLE MIDDLE SCHOOL, 40 E MADISON ST, PLATTEVILLE, WI 53818
01/15/2019 09/30/2020POTOSI SCHOOLS, 128 HIGHWAY 61 N, POTOSI, WI 53820
01/15/2019 09/30/2020WESTVIEW ELEMENTARY SCHOOL, 1201 CAMP ST, PLATTEVILLE, WI 53818
2197SOUTHWEST BEHAVIORAL SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/2000
(608) 342-3026
(608) [email protected] HEBGEN
County: GrantPLATTEVILLE, WI 538181185 NORTH ELM STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-INPATIENT DHS 61.71 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
3130SOUTHWEST BEHAVIORAL SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201804/25/2016
(608) 342-3025
(608) [email protected] MILLER KASS
County: GrantPLATTEVILLE, WI 538181450 EAST SIDE ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020BLOOMFIELD MANOR, 3151 COUNTY RD CH, DODGEVILLE, WI 535331
03/01/2018 02/29/2020BOSCOBEL CARE AND REHAB, 207 PARKER ST, BOSCOBEL, WI 538051
03/01/2018 02/29/2020DIVINE CARE AND REHAB, 1850 11TH STREET, FENNIMORE, WI 538091
03/01/2018 02/29/2020EDENBROOK OF PLATTEVILLE, 1300 NORTH WATER ST, PLATTEVILLE, WI 538181
03/01/2018 02/29/2020LANCASTERHEALTH SERVICES, 1350 S MADISON ST, LANCASTER, WI 538131
03/01/2018 02/29/2020MINERAL POINT HEALTH SERVICES, 109 NORTH IOWA ST, MINERAL POINT, WI 535651
03/01/2018 02/29/2020ORCHARD MANOR, 8800 HWY 61, LANCASTER, WI 538131
03/01/2018 02/29/2020PRAIRIE MAISON, 700 S. FREEMONT ST, PRAIRIE DU CHIEN, WI 538211
03/01/2018 02/29/2020SOUTHWEST HEALTH CTR EPIONE PAVILLION, 808 S WASHINGTON ST, CUBA CITY, WI 538071
03/01/2018 02/29/2020UPLAND HILLS HEALTH & REHAB CENTER, 800 COMPASSION WAY, DODGEVILLE, WI 535331
2/11/2020 Page 67 of 224
Mental Health Program Directory By County, City, and Provider Name
GREENMONROE
1388GREEN COUNTY HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201810/01/1975
(608) 328-2139
(608) [email protected] MILES
County: GreenMONROE, WI 53566N3152 STATE ROAD 81
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 01/01/2018 12/31/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2018 12/31/2019
CSAS-PREVENTION DHS 75.04 01/01/2018 12/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2018 12/31/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2018 12/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2018 12/31/2019GREEN COUNTY ADULT DRUG COURT, 2841 6TH STREET, MONROE, WI 535662
2328GREEN COUNTY HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2000
(608) 328-9480
(608) [email protected] WILLIAMS
County: GreenMONROE, WI 53566N 3152 STATE ROAD 81
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
3085GREEN/LAFAYETTE REGIONAL COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/2015
(608) 325-2139
(608) [email protected] BOWYER
County: GreenMONROE, WI 53566N3152 STATE RD 81
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/27/2019 05/31/2021LAFAYETTE COUNTY HUMAN SERVICES, 15701 CO RD K STE 3, DARLINGTON, WI 535302
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Mental Health Program Directory By County, City, and Provider Name
1915MONROE CLINIC BEHAVIORAL HEALTH
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201905/01/1981
(608) 324-2102
(608) [email protected] GALLAGHER
County: GreenMONROE, WI 53566515 - 22ND AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021MONROE CLINIC - BRODHEAD, 1ST CENTER AVE, BRODHEAD, WI 535201
08/01/2019 07/31/2021MONROE CLINIC - FREEPORT BRANCH, 1301 KIWANIS DRIVE, FREEPORT, IL 610321
08/01/2019 07/31/2021MONROE CLINIC - NEW GLARUS BRANCH, 1800 - 2ND ST, NEW GLARUS, WI 535741
Setting Begin/End DatesNon-Certified School Setting(s)10/15/2019 07/31/2021ABRAHAM LINCOLN ELEMENTARY, 2625 14TH AVE, MONROE, WI 53566
10/15/2019 07/31/2021MONROE HIGH SCHOOL, 1600 26TH ST, MONROE, WI 53566
10/15/2019 07/31/2021MONROE MIDDLE SCHOOL, 1510 13TH ST, MONROE, WI 53566
10/15/2019 07/31/2021MONTICELLO SCHOOL, 334 SOUTH MAIN ST, NEW GLARUS, WI 53574
10/15/2019 07/31/2021NEW GLARUS ELEMENTARY, 1420 2ND ST, NEW GLARUS, WI 53574
10/15/2019 07/31/2021NEW GLARUS HIGH SCHOOL, 1701 2ND ST, NEW GLARUS, WI 53574
10/15/2019 07/31/2021NORTHSIDE ELEMENTARY, 3005 8 1/2 ST, MONROE, WI 53566
10/15/2019 07/31/2021PARKSIDE ELEMENTARY, 920 4TH ST, MONROE, WI 53566
2/11/2020 Page 69 of 224
Mental Health Program Directory By County, City, and Provider Name
GREEN LAKEGREEN LAKE
1389GREEN LAKE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201804/01/1977
(920) 294-4139
(920) [email protected] JEROME
County: Green LakeGREEN LAKE, WI 54941571 COUNTY ROAD A
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 11/01/2018 10/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
CSAS-PREVENTION DHS 75.04 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2018 10/31/2020
Services
11/01/2018 10/31/2020BERLIN MIDDLE SCHOOL, 242 MEMORIAL DRIVE, BERLIN, WI 54923
11/01/2018 10/31/2020MARKESAN HIGH SCHOOL, 100 E VISTA BLVD, MARKESAN, WI 53946
2265GREEN LAKE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2000
(920) 294-4139
(920) [email protected] JEROME
County: Green LakeGREEN LAKE, WI 54941571 COUNTY ROAD A
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2599GREEN LAKE COUNTY DHHS COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201908/22/2005
(920) 294-4139
(920) [email protected] JEROME
County: Green LakeGREEN LAKE, WI 54941571 COUNTY ROAD A
CCS Affiliaton: 01/01/2016Begin: End: Lead:Central Wisconsin Health Partnership V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 70 of 224
Mental Health Program Directory By County, City, and Provider Name
IRONHURLEY
2347IRON COUNTY HUMAN SERVICES DEPARTMENT AND ASSOCIATES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2002
(715) 561-2128
(715) [email protected] BUCKNELL
County: IronHURLEY, WI 54534300 TACONITE STREET, #201
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 03/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021HURLEY SCHOOL, 5503 W RANGE VIEW DR, HURLEY, WI 545343
2745IRON COUNTY HUMAN SERVICES DEPARTMENT AND ASSOCIATES COMM SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2007
(715) 561-2128
(715) [email protected] BUCKNELL
County: IronHURLEY, WI 54534300 TACONITE STREET, #201
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2019 02/28/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 03/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2/11/2020 Page 71 of 224
Mental Health Program Directory By County, City, and Provider Name
JACKSONBLACK RIVER FALLS
3278FAMILY & CHILDREN'S CENTER COMMUNITY SUPPORT PROGRAM - JACKSON COUNTY
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/202001/01/2020
(608) 396-6025
(608) [email protected] BAILEY
County: JacksonBLACK RIVER FALLS, WI 54615421 CTY RD R
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2020 12/31/2020
Services
NO BRANCH LOCATIONS
1413HO-CHUNK NATION DEPARTMENT OF HEALTH DIVISION OF BEHAVIORAL HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201805/01/1992
(715) 284-3434
(715) [email protected] SUQUET
County: JacksonBLACK RIVER FALLS, WI 54615N 6250 LUMBERJACK GUY ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 11/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020MADISON BRANCH OFFICE, 4724 TRADE WINDS PARKWAY, MADISON, WI 537181
11/01/2018 10/31/2020NEKOOSA HEALTH OFFICE, 1021 COUNTY HWY G, NEKOOSA, WI 544572
11/01/2018 10/31/2020THREE RIVERS HOUSE, 724 MAIN STREET, LA CROSSE, WI 546012
11/01/2018 10/31/2020TOMAH HEALTH OFFICE, 430 JULIE ST, STE 2, TOMAH, WI 546602
11/01/2018 10/31/2020WELLNESS CENTER HEALTH OFFICE, S2845 WHITE EAGLE ROAD, BARABOO, WI 539132
11/01/2018 10/31/2020WITTENBERG HEALTH OFFICE, W17634 RADKE RD, WITTENBERG, WI 544992
2957JACKSON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202001/30/201901/01/2012
(715) 284-7713
(715) [email protected] HOVELL
County: JacksonBLACK RIVER FALLS, WI 54615421 COUNTY RD R
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/30/2019 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/30/2019 08/31/2020
Services
NO BRANCH LOCATIONS
2901JACKSON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202001/30/201905/01/2010
(715) 284-7713
(715) [email protected] HOVELL
County: JacksonBLACK RIVER FALLS, WI 54615421 COUNTY RD R
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/30/2019 04/30/2020
Services
NO BRANCH LOCATIONS
2/11/2020 Page 72 of 224
Mental Health Program Directory By County, City, and Provider Name
1473KROHN CLINIC, LTD.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201902/01/1988
(715) 284-0475
(715) [email protected] GILBERTSON
County: JacksonBLACK RIVER FALLS, WI 54615610 W ADAMS STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2655NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - BLACK RIVER FALLS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/2006
(888) 932-5853
(715) [email protected] MAURER
County: JacksonBLACK RIVER FALLS, WI 54615N6643 COUNTY RD A
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2019 01/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
02/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2/11/2020 Page 73 of 224
Mental Health Program Directory By County, City, and Provider Name
JEFFERSONFORT ATKINSON
1309FORT HEALTH CARE BEHAVIORAL HEALTH
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201912/01/1991
(920) 563-4228
(920) [email protected] LESLIE
County: JeffersonFORT ATKINSON, WI 53538500 MCMILLEN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021FORT HEALTHCARE - CAMBRIDGE CLINIC, 704 KATIE COURT, CAMBRIDGE, WI 535231
02/01/2019 01/31/2021FORT HEALTHCARE - JEFFERSON CLINIC, 840 W RACINE, JEFFERSON, WI 535491
02/01/2019 01/31/2021FORT HEALTHCARE - LAKE MILLS CLINIC, 200 E TYRANENA PK ROAD, LAKE MILLS, WI 535511
02/01/2019 01/31/2021FORT HEALTHCARE INTEGRATED FAMILY CARE, 1520 MADISON AVE, FORT ATKINSON, WI 535382
12/17/2019 01/31/2021CAMBRIDGE HIGH SCHOOL, 403 BLUE JAY WAY, CAMBRIDGE, WI 535233
12/17/2019 01/31/2021FORT ATKINSON MIDDLE SCHOOL, 310 4TH ST E, FORT ATKINSON, WI 535383
12/17/2019 01/31/2021LAKEVIEW ELEMENTARY SCHOOL, W8363 R&W TOWNLINE RD, WHITEWATER, WI 531903
12/17/2019 01/31/2021LINCOLN ELEMENTARY SCHOOL, 242 SO PRINCE ST, WHITEWATER, WI 531903
12/17/2019 01/31/2021NIKOLAY MIDDLE SCHOOL, 211 SOUTH ST, CAMBRIDGE, WI 535233
12/17/2019 01/31/2021WASHINGTON ELEMENTARY SCHOOL, 506 E MAIN ST, WHITEWATER, WI 531903
02/01/2019 01/31/2021WHITEWATER HIGH SCHOOL, 534 S ELIZABETH ST, WHITEWATER, WI 531903
02/01/2019 01/31/2021WHITEWATER MIDDLE SCHOOL, 401 S ELIZABETH ST, WHITEWATER, WI 531903
JEFFERSON
1449JEFFERSON COUNTY HUMAN SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201910/01/1975
(920) 674-6113
(920) [email protected] CAULEY
County: JeffersonJEFFERSON, WI 535491541 ANNEX ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
2221JEFFERSON COUNTY HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/01/2000
(920) 674-7409
(920) [email protected] THORMAN
County: JeffersonJEFFERSON, WI 535491541 ANNEX ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
2/11/2020 Page 74 of 224
Mental Health Program Directory By County, City, and Provider Name
2643JEFFERSON COUNTY HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201902/15/2006
(920) 674-2359
(920) [email protected] CONGDON
County: JeffersonJEFFERSON, WI 535491541 ANNEX ROAD
CCS Affiliaton: 08/01/2014Begin: End: Lead:JRW Tri County Regional CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
WATERTOWN
1326FAMILY RESOURCES ASSOCIATES, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/01/1993
(920) 261-8801
(920) [email protected] KUEFFER
County: JeffersonWATERTOWN, WI 530941315 W MAIN STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020FAMILY RESOURCES ASSOCIATES INC, 248 S. WISCONSIN DRIVE, JEFFERSON, WI 535492
2/11/2020 Page 75 of 224
Mental Health Program Directory By County, City, and Provider Name
JUNEAUMAUSTON
1453JUNEAU COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/1988
(608) 847-9421
(608) [email protected] GLYNN
County: JuneauMAUSTON, WI 53948200 HICKORY STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
3000JUNEAU COUNTY DEPARTMENT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2013
(608) 847-9421
(608) [email protected] MOORE
County: JuneauMAUSTON, WI 53948200 HICKORY STREET
CCS Affiliaton: 01/01/2016Begin: End: Lead:Central Wisconsin Health Partnership V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
1452JUNEAU COUNTY DEPARTMENT OF HUMAN SERVICES-COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201901/01/1989
(608) 847-9421
(608) [email protected] JO ONSAGER
County: JuneauMAUSTON, WI 53948200 HICKORY STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 76 of 224
Mental Health Program Directory By County, City, and Provider Name
3173PINE VALLEY INTEGRATED SERVICES LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/18/201807/14/2017
(608) 350-1288
(608) [email protected] BRONECKI
County: JuneauMAUSTON, WI 53948124 GRAYSIDE AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/18/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/18/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier06/18/2018 05/31/2020NEW LISBON FAMILY MEDICAL CENTER, 901 BRIDGE ST, NEW LISBON, WI 539501
06/18/2018 05/31/2020MILE BLUFF CLINIC, 1040 DIVISION STREET, MAUSTON, WI 539482
06/18/2018 05/31/2020ADAMS FRIENDSHIP ELEMENTARY SCHOOL, 500 N PIERCE ST, ADAMS, WI 539103
06/18/2018 05/31/2020ADAMS FRIENDSHIP HIGH SCHOOL, 1109 E NORTH ST, ADAMS, WI 539103
06/18/2018 05/31/2020ADAMS FRIENDSHIP MIDDLE SCHOOL, 420 N MAIN ST, ADAMS, WI 539103
11/19/2018 05/31/2020CAMP DOUGLAS ELEMENTARY, 81 JUNCTION ST, CAMP DOUGLAS, WI 546183
09/17/2018 05/31/2020CESA JUNEAU CO-ADOLESCENT, 11003 17TH AVE, NECEDAH, WI 546463
09/13/2018 05/31/2020GRAND MARSH ELEMENTARY, 620 HIGHWAY E, GRAND MARSH, WI 539363
09/03/2019 05/31/2020GRAYSIDE ELEMENTARY SCHOOL, 510 GRAYSIDE AVE, MAUSTON, WI 539483
09/03/2019 05/31/2020ILEAD CHARTER SCHOOL, 800 GRAYSIDE, MAUSTON, WI 539483
11/19/2018 05/31/2020LAGRANGE ELEMENTARY, 600 STRAW ST, TOMAH, WI 546603
11/19/2018 05/31/2020LEMONWEIR ELEMENTARY, 711 N GLENDALE AVE, TOMAH, WI 546603
09/03/2019 05/31/2020LYNDON STATION SCHOOL, 201 HOEHN DRIVE, LYNDON STATION, WI 539443
09/03/2019 05/31/2020MAUSTON HIGH SCHOOL, 800 GRAYSIDE AVE, MAUSTON, WI 539483
11/19/2018 05/31/2020MILLER ELEMENTARY, 813 OAK AVE, TOMAH, WI 546603
09/03/2019 05/31/2020NECEDAH ELEMENTARY SCHOOL, 1801 S MAIN STREET, NECEDAH, WI 546463
09/03/2019 05/31/2020NECEDAH MIDDLE/HIGH SCHOOL, 1801 S MAIN STREET, NECEDAH, WI 546463
11/19/2018 05/31/2020OAKDALE ELEMENTARY, 217 S OAKWOOD ST, TOMAH, WI 546603
09/03/2019 05/31/2020OLSON MIDDLE SCHOOL, 508 GRAYSIDE AVE, MAUSTON, WI 539483
11/19/2018 05/31/2020ROBERT KUPPER LEARNING CENTER, 1310 TOWNLINE RD, TOMAH, WI 546603
11/19/2018 05/31/2020TOMAH AREA HIGH SCHOOL, 901 LINCOLN AVE, TOMAH, WI 546603
11/19/2018 05/31/2020TOMAH AREA MIDDLE SCHOOL, 612 HOLLISTER AVE, TOMAH, WI 546603
11/19/2018 05/31/2020TOMAH AREA MONTESSORI, 1720 ACADEMY AVE, TOMAH, WI 546603
11/19/2018 05/31/2020TOMAH AREA SCHOOL DISTRICT, 129 W CLIFTON ST, TOMAH, WI 546603
11/19/2018 05/31/2020WARRENS ELEMENTARY, 409 MAIN ST, WARRENS, WI 546663
09/03/2019 05/31/2020WESTSIDE ELEMENTARY, 708 LOOMIS DRIVE, MAUSTON, WI 539483
11/19/2018 05/31/2020WYEVILLE ELEMENTARY, 225 W TOMAH RD, WYEVILLE, WI 546603
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Mental Health Program Directory By County, City, and Provider Name
KENOSHAKENOSHA
1083AALTO ENHANCEMENT CENTER, SC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201904/09/1991
(262) 654-9379
(262) [email protected] A. AALTO
County: KenoshaKENOSHA, WI 531428503 - 75TH STREET, #A
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/10/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2218AURORA MEDICAL GROUP BEHAVIORAL HEALTH SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/24/1998
(414) 422-2188
(414) [email protected] VALENTIN
County: KenoshaKENOSHA, WI 5314212225 - 71ST STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021AURORA BEHAVIORAL HEALTH SVS-KENOSHA NORTH, 6811 118TH PL., KENOSHA, WI 531401
10/01/2019 09/30/2021AURORA BEHAVIORAL HEALTH SVS-RACINE WEST, 8348 WASHINGTON AVE., RACINE, WI 534051
1193CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/1993
(262) 652-7728
(262) [email protected] HULETZ
County: KenoshaKENOSHA, WI 531426809 122ND AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021WALWORTH COUNTY CHILD ADVOCACY CENTER, W4063 HWY, NN, ELKHORN, WI 531212
1440INTERCONNECTIONS, S.C.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201908/01/1981
(262) 654-7818
(262) [email protected] NICHOLS
County: KenoshaKENOSHA, WI 53140920 - 60TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
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3081KENOSHA COMMUNITY HEALTH CENTER, INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201905/01/2015
(262) 653-2218
(262) [email protected] MARSHALL
County: KenoshaKENOSHA, WI 531404536 22ND AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/29/2019 05/31/2021KENOSHA COMMUNITY HEALTH CENTER - SILVER LAKE, 903 S 2ND STREET, SILVER LAKE, WI
531701
06/01/2019 05/31/2021KENOSHA COMMUNITY HEALTH CENTER - 14TH AVE CLINIC, 6226 14TH AVENUE, KENOSHA, WI 53143
2
2589KENOSHA COUNTY DEPARTMENT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2005
(262) 697-4655
(262) [email protected] HANKS
County: KenoshaKENOSHA, WI 531438600 SHERIDAN RD #100
CCS Affiliaton: 12/01/2014Begin: End: Lead:Kenosha Racine Regional Consortium (KRRC)
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 04/30/2021KENOSHA HUMAN DEVELOPMENT SERVICES, INC (KHDS), 5407 8TH AVENUE, KENOSHA, WI 531402
1460KENOSHA COUNTY DEPT OF HUMAN SERVICES/KENOSHA HUMAN DEVELOPMENT SERVICES INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201802/01/1977
(262) 653-2080
(262) [email protected] M FIELD
County: KenoshaKENOSHA, WI 531405407 8TH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
2941KENOSHA HUMAN DEVELOPMENT SERVICES, INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/01/2012
(262) 842-0539
(262) [email protected] MARTIN
County: KenoshaKENOSHA, WI 53140712 55TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 10/19/2019
Services
NO BRANCH LOCATIONS
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2897KENOSHA HUMAN DEVELOPMENT SERVICES, INC COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/01/2010
(262) 653-2080
(262) [email protected] THORNTON
County: KenoshaKENOSHA, WI 531405407 8TH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
2613MOORE AND ASSOCIATES/BIRDS OF A FEATHER, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/14/2005
(262) 605-1404
(262) [email protected] MOORE
County: KenoshaKENOSHA, WI 531436530 SHERIDAN ROAD, #3
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 10/01/2019 09/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021MOORE & ASSOCIATES, INC, 220 S COUNTY ROAD H, UNIT A, ELKHORN, WI 531211
10/01/2019 09/30/2021MOORE & ASSOCIATES, INC, 1656 WASHINGTON AVE, RACINE, WI 534042
2028OAKWOOD CLINICAL ASSOCIATES, LTD.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201802/25/1991
(262) 652-2931
(262) [email protected] ANDERSON
County: KenoshaKENOSHA, WI 531424109 67TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020OAKWOOD CLINICAL ASSOCIATES LTD, 24804 75TH STREET, PADDOCK LAKE, WI 531682
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1749PROFESSIONAL SERVICES GROUP, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201806/01/1983
(262) 652-2408
(262) [email protected] FEATHERSTONE
County: KenoshaKENOSHA, WI 531432108 63RD STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 04/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020PROFESSIONAL SERVICES GROUP, 614 N 3RD STREET, WAUSAU, WI 544031
04/01/2018 03/31/2020PROFESSIONAL SERVICES GROUP, 724 ELM STREET, WEST BEND, WI 530951
06/25/2019 03/31/2020PSG - BOYS & GIRLS CLUB OFFICE KENOSHA, 1330 52ND ST, KENOSHA, WI 531401
03/29/2019 03/31/2020PSG - BOYS & GIRLS CLUB OFFICE, 925 N SILVERBROOK DR, WEST BEND, WI 530901
03/29/2019 03/31/2020PSG - BOYS & GIRLS CLUB OFFICE, N165 W20330 HICKORY LN, JACKSON, WI 530371
09/12/2019 03/31/2020PSG - THE SHARING CENTER, 25700 WLMOT RD HWY C, TREVOR, WI 531791
09/04/2019 03/31/2020PROFESSIONAL SERVICES GROUP, 1205 S 70TH STREET #301, MILWAUKEE, WI 532142
03/05/2019 03/31/2020PROFESSIONAL SERVICES GROUP, 1905 CENTER AVE, STE 170, JANESVILLE, WI 535462
04/01/2018 03/31/2020PROFESSIONAL SERVICES GROUP, 2333 NORTHWESTERN AVE, RACINE, WI 534042
Setting Begin/End DatesNon-Certified School Setting(s)04/01/2018 03/31/2020ADDISON ELEMENTARY, 5050 INDIAN ROAD, HARTFORD, WI 53027
02/04/2019 03/31/2020AMY BELLE ELEMENTARY, 3294 WILLOW CREEK RD, COLGATE, WI 53017
04/01/2018 03/31/2020BADGER MIDDLE SCHOOL, 727 S 6TH AVE, WEST BEND, WI 53095
02/04/2019 03/31/2020BRADFORD HIGH SCHOOL, 3700 WASHINGTON RD, KENOSHA, WI 53144
02/04/2019 03/31/2020BRASS ELEMENTARY SCHOOL, 6400 15TH AVE, KENOSHA, WI 53143
02/04/2019 03/31/2020BRISTOL ELEMENTARY SCHOOL, 20121 83RD ST, BRISTOL, WI 53104
07/24/2019 03/31/2020BROOKWOOD ELEMENTARY SCHOOL, 630 KOSSUTH STREET, GENOA CITY, WI 53128
07/24/2019 03/31/2020BROOKWOOD MIDDLE SCHOOL, 1020 HUNTERS RIDGE DR, GENOA CITY, WI 53128
02/04/2019 03/31/2020BULLEN MIDDLE SCHOOL, 2804 39TH AVE, KENOSHA, WI 53144
11/30/2018 03/31/2020BURLINGTON HIGH SCHOOL, 400 MCCANNA PKWY, BURLINGTON, WI 53105
07/24/2019 03/31/2020CARMEN HS OF SCIENCE - SO CAMPUS, 1712 S 32ND STREET, MILWAUKEE, WI 53215
10/22/2018 03/31/2020CENTRAL HIGH SCHOOL, 8516 W LINCOLN AVE, WEST ALLIS, WI 53227
04/01/2018 03/31/2020CENTRAL MIDDLE SCHOOL, 1100 CEDAR ST, HARTFORD, WI 53027
11/30/2018 03/31/2020COOPER ELEMENTARY SCHOOL, 249 CONKEY ST, BURLINGTON, WI 53105
04/01/2018 03/31/2020COUNTY LINE ELEMENTARY, W159 N9939 BUTTERNUT RD, GERMANTOWN, WI 53022
04/01/2018 03/31/2020DECORAH ELEMENTARY, 1225 SULVAN WAY, WEST BEND, WI 53095
02/04/2019 03/31/2020DOTTKE HIGH SCHOOL, 7815 W LAPHAM ST, MILWAUKEE, WI 53214
04/01/2018 03/31/2020DREAM CENTER, 1190 WESTERN DR, HARTFORD, WI 53027
11/30/2018 03/31/2020DYER INTERMEDIATE SCHOOL, 201 S KENDRICK AVE, BURLINGTON, WI 53105
02/04/2019 03/31/2020EARLY LEARNING CENTER, 244 LOOS ST, HARTFORD, WI 53027
10/22/2018 03/31/2020EDWARD BAIN SCHOOL OF LANG & ART, 2600 50TH ST, KENOSHA, WI 53140
04/01/2018 03/31/2020FAIRPARK ELEMENTARY SCHOOL, 519 INDIANA AVE, WEST BEND, WI 53095
02/04/2019 03/31/2020FARMINGTON ELEMENTARY, 8736 BOLTONVILLE RD, KEWASKUM, WI 53040
07/24/2019 03/31/2020FRANK ELEMENTARY SCHOOL, 1816 57TH STREET, KENOSHA, WI 53140
04/01/2018 03/31/2020GREAT EXPECTATIONS, 735 MAIN ST, WEST BEND, WI 53095
02/04/2019 03/31/2020GREEN TREE ELEMENTARY, 1330 GREEN TREE RD, WEST BEND, WI 53095
02/04/2019 03/31/2020GREWENOW ELEMENTARY SCHOOL, 7714 20TH AVE, KENOSHA, WI 53143
10/22/2018 03/31/2020HARTFORD UNION HIGH SCHOOL, 805 CEDAR ST, HARTFORD, WI 53027
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Mental Health Program Directory By County, City, and Provider Name
04/01/2018 03/31/2020HEADSTART, 737 S 3RD AVE, WEST BEND, WI 53095
02/04/2019 03/31/2020HIGHLAND ALTERNATIVE SCHOOL, 675 E ROSSMAN ST, HARTFORD, WI 53027
02/04/2019 03/31/2020HORACE MANN ELEMENTARY, 6213 W LAPHAM ST, WEST ALLIS, WI 53214
04/01/2018 03/31/2020I4 LEARNING, 5760 MOWHAWK RD, CAMPBELLSPORT, WI 53010
02/04/2019 03/31/2020IRVING ELEMENTARY, 10230 W GRANT ST, WEST ALLIS, WI 53227
02/04/2019 03/31/2020JACKSON ELEMENTARY, W204 N16850 JACKSON DR, JACKSON, WI 53037
02/04/2019 03/31/2020JEFFERSON ELEMENTARY, 7229 W BECHER ST, WEST ALLIS, WI 53219
11/30/2018 03/31/2020KARCHER MIDDLE SCHOOL, 225 ROBERT ST, BURLINGTON, WI 53105
04/01/2018 03/31/2020KENNEDY MIDDLE SCHOOL, W160 N11836 CRUSADER CT, GERMANTOWN, WI 53022
04/01/2018 03/31/2020KEWAKSUM MIDDLE SCHOOL, 1676 REIGLE DR, KEWASKUM, WI 53040
04/01/2018 03/31/2020KEWASKUM ELEMENTARY, 1415 BILGO LANE, KEWASKUM, WI 53040
04/01/2018 03/31/2020LAKEWOOD ELEMENTARY SCHOOL, 1218 WILMOT AVE, TWIN LAKES, WI 53181
02/04/2019 03/31/2020LANE ELEMENTARY, 2015 S SUNNYSLOPE RD, NEW BERLIN, WI 53151
04/01/2018 03/31/2020LINCOLN ELEMENTARY, 755 RURAL ST, HARTFORD, WI 53027
10/22/2018 03/31/2020LINCOLN MIDDLE SCHOOL, 6729 18TH AVE, KENOSHA, WI 53143
11/30/2018 03/31/2020LYONS CENTER SCHOOL, 1622 MILL ST, BURLINGTON, WI 53105
04/01/2018 03/31/2020MACARTHUR ELEMENTARY SCHOOL, N154 W11942 FOND DU LAC AVE, GERMANTOWN, WI 53022
02/04/2019 03/31/2020MADISON ELEMENTARY, 1117 104TH ST, WEST ALLIS, WI 53214
02/04/2019 03/31/2020MCKINLEY ELEMENTARY SCHOOL, 5520 32ND AVE, KENOSHA, WI 53144
04/01/2018 03/31/2020MCLANE ELEMENTARY, 833 CHESTNUT ST, WEST BEND, WI 53095
10/22/2018 03/31/2020NATHAN HALE HIGH SCHOOL, 11601 W LINCOLN AVE, WEST ALLIS, WI 53227
04/01/2018 03/31/2020PATHWAYS CHARTER, 1043 S MAIN ST, WEST BEND, WI 53095
10/22/2018 03/31/2020PERSHING ELEMENTARY SCHOOL, 1330 S 47TH ST, WEST MILWAUKEE, WI 53214
04/01/2018 03/31/2020RANDALL CONSOLIDATED SCHOOL, 37101 87TH ST, BURLINGTON, WI 53105
04/01/2018 03/31/2020RIVERVIEW ELEMENTARY SCHOOL, 300 E PROSSER ST, SILVER LAKE, WI 53170
04/01/2018 03/31/2020ROSSMAN ELEMENTARY, 600 HIGHLAND, HARTFORD, WI 53027
04/01/2018 03/31/2020SILVERBROOK INTERMEDIATE, 120 N SILVERBROOK RD, WEST BEND, WI 53095
04/01/2018 03/31/2020SLINGER MIDDLE SCHOOL, 521 OLYMPIC DR, SLINGER, WI 53086
02/04/2019 03/31/2020SOUTHPORT ELEMENTARY SCHOOL, 723 76TH ST, KENOSHA, WI 53143
02/04/2019 03/31/2020STOCKER ELEMENTARY SCHOOL, 6315 67TH ST, KENOSHA, WI 53142
07/24/2019 03/31/2020TREMPOR HIGH SCHOOL, 8560 26TH AVE, KENOSHA, WI 53143
10/22/2018 03/31/2020TREVOR-WILMOT GRADE SCHOOL, 26325 WILMOT RD, TREVOR, WI 53179
11/30/2018 03/31/2020UNION GROVE ELEMENTARY SCHOOL, 1745 MILLDRUM ST, UNION GROVE, WI 53182
02/04/2019 03/31/2020WALKER ELEMENTARY, 900 S 119TH ST, WEST ALLIS, WI 53214
11/30/2018 03/31/2020WALLER ELEMENTARY SCHOOL, 195 GARDNER AVE, BURLINGTON, WI 53105
10/22/2018 03/31/2020WASHINGTON MIDDLE SCHOOL, 811 WASHINGTON RD, KENOSHA, WI 53140
04/01/2018 03/31/2020WEST BEND EAST HIGH SCHOOL, 1305 E DECORAH RD, WEST BEND, WI 53095
10/22/2018 03/31/2020WHEATLAND CENTER SCHOOL, 6606 368TH AVE, BURLINGTON, WI 53105
04/01/2018 03/31/2020WILMOT UNION HIGH SCHOOL, 11112 308TH AVE, WILMOT, WI 53192
02/04/2019 03/31/2020WILSON ELEMENTARY SCHOOL, 4520 33RD AVE, KENOSHA, WI 53144
11/30/2018 03/31/2020WINKLER ELEMENTARY SCHOOL, 34150 FULTON ST, BURLINGTON, WI 53105
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Mental Health Program Directory By County, City, and Provider Name
1752PSYCHIATRIC AND PSYCHOTHERAPY CLINIC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202006/20/201906/01/1980
(262) 654-2434
(262) [email protected] DEFAZIO
County: KenoshaKENOSHA, WI 531426125 GREEN BAY RD, STE 700
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/20/2019 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/20/2019 04/30/2020
Services
NO BRANCH LOCATIONS
2433ROGERS MEMORIAL HOSPITAL CHILD AND ADOLESCENT DAY TREATMENT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201804/28/2003
(262) 942-7740
(262) [email protected] SCHULTZ
County: KenoshaKENOSHA, WI 531429916 - 75TH STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 05/01/2018 04/30/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 03/11/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 05/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 05/01/2018 04/30/2020
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 03/11/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 05/01/2018 04/30/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 W/TELEHEALTH DHS 40.11(2)(B)
03/11/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
KEWAUNEEKEWAUNEE
2288KEWAUNEE COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/1977
(920) 388-7124
(920) [email protected] BORKOVETZ
County: KewauneeKEWAUNEE, WI 54216810 LINCOLN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
1466KEWAUNEE COUNTY DEPT OF HUMAN SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/1977
(920) 388-7124
(920) [email protected] NORTON
County: KewauneeKEWAUNEE, WI 54216810 LINCOLN STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 02/01/2019 01/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
CSAS-PREVENTION DHS 75.04 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
2781KEWAUNEE COUNTY DHS COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/11/2008
(920) 388-7124
(920) [email protected] NORTON
County: KewauneeKEWAUNEE, WI 54216810 LINCOLN STREET
CCS Affiliaton: 12/01/2014Begin: End: Lead:Lakeshore Recovery Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
LA CROSSELA CROSSE
2802COUNSELING ASSOCIATES LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/05/2008
(608) 785-0273
(608) [email protected] EINSMAN
County: La CrosseLA CROSSE, WI 54601115 - 5TH AVENUE SOUTH, #301
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2018 05/31/2020COUNSELING ASSOCIATES LLC, 111 MARKET STREET #4A, WINONA, MN 559872
3021DRIFTLESS RECOVERY SERVICES INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/14/2014
(608) 519-5908
(608) [email protected] KNUTSON
County: La CrosseLA CROSSE, WI 54601444 MAIN ST SUITE 301
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
3279FAMILY & CHILDREN'S CENTER COMMUNITY SUPPORT PROGRAM - LA CROSSE COUNTY
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/202001/01/2020
(608) 791-6262
(605) [email protected] BAILEY
County: La CrosseLA CROSSE, WI 546011707 MAIN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2020 12/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1315FAMILY AND CHILDREN'S CENTER
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201902/01/1994
(608) 785-0002
(608) [email protected] JACOBSON
County: La CrosseLA CROSSE, WI 546011707 MAIN STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/11/2019 10/31/2021FAMILY AND CHILDREN'S CENTER, 1321 NORTH MAIN ST, VIROQUA, WI 546651
11/12/2019 10/31/2021FAMILY AND CHILDREN'S CENTER, 1321 N MAIN STREET, VIROQUA, WI 546652
Setting Begin/End DatesNon-Certified School Setting(s)11/01/2019 10/31/2021CENTRAL HIGH SCHOOL, 1801 LOSEY BLVD., LA CROSSE, WI 54601
11/01/2019 10/31/2021HAMILTON EARLY LEARNING CTR, 1111 S. 7TH STREET, LA CROSSE, WI 54601
11/01/2019 10/31/2021LOGAN HIGH SCHOOL, 1500 RANGER DR, LACROSSE, WI 54603
11/01/2019 10/31/2021NORTHSIDE ELEMENTARY, 1611 KANE ST, LACROSSE, WI 54603
11/01/2019 10/31/2021SPENCE ELEMENTARY, 2150 BENNETT STREET, LA CROSSE, WI 54601
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Mental Health Program Directory By County, City, and Provider Name
1391GUNDERSEN CLINIC LIMITED BEHAVIORAL HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/1984
(608) 775-2222
(608) [email protected] HAUG
County: La CrosseLA CROSSE, WI 546011836 SOUTH AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/17/2019 01/31/2021GUNDERSEN BOSCOBEL AREA CLINIC, 200 W BLUFF STREET, BOSCOBEL, WI 538051
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD BEHAVIORAL HLTH, 110 JEFFERSON ST, WEST UNION, IA 521751
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 226 NORTH 2ND STREET, LA CRESCENT, MN 559471
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 35791 OSSEO ROAD, INDEPENDENCE, WI 547471
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 420 SOUTH PETERSON AVE, BLAIR, WI 546161
02/01/2019 01/31/2021GUNDERSEN HARMONY CLINIC, 805 COUNTY RD 44, HARMONY, MN 559391
02/01/2019 01/31/2021GUNDERSEN HOUSTON CLINIC, 511 E MAPLE ST, HOUSTON, MN 559431
02/01/2019 01/31/2021GUNDERSEN SPRING GROVE CLINIC, 123 5TH AVE SE, SPRING GROVE, MN 559741
07/17/2019 01/31/2021GUNDERSEN ST JOSEPHS, 400 WATER ST, HILLSBORO, WI 546341
02/01/2019 01/31/2021RICHLAND MEDICAL CENTER, 301 EAST 2ND STREET, RICHLAND CENTER, WI 535811
02/01/2019 01/31/2021VERNON MEMORIAL HEALTHCARE, 507 SOUTH MAIN ST, VIROQUA, WI 546651
02/01/2019 01/31/2021DAHL FAMILY YMCA, 1140 MAIN ST, LA CROSSE, WI 546012
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD BEHAVIORAL HLTH, 1111 W WISCONSIN ST, SPARTA, WI 546562
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 1830 STATE HWY 9, DECORAH, IA 521012
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 18606 ERVIN STREET, WHITEHALL, WI 547732
08/26/2019 01/31/2021GUNDERSEN CLINIC LTD, 505 GOPHER DRIVE, TOMAH, WI 546602
02/01/2019 01/31/2021GUNDERSEN CLINIC LTD, 610 E TAYLOR STREET, PRAIRIE DU CHIEN, WI 538212
02/01/2019 01/31/2021GUNDERSEN LUTHERAN MEDICAL CENTER, 123 - 16TH AVE SOUTH, ONALASKA, WI 546502
02/01/2019 01/31/2021GUNDERSEN LUTHERAN MEDICAL CENTER, 3111 GUNDERSEN DRIVE, ONALASKA, WI 546502
02/01/2019 01/31/2021GUNDERSEN VIROQUA CLINIC, 407 SOUTH MAIN STREET, VIROQUA, WI 546652
1520GUNDERSEN LUTHERAN MEDICAL CENTER, INC. BEHAVIORAL HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201903/01/1982
(608) 775-2222
(608) [email protected] HAUG
County: La CrosseLA CROSSE, WI 546011910 SOUTH AVENUE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 02/01/2019 01/31/2021
CSAS-NARCOTIC TREATMENT DHS 75.15 02/01/2019 08/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021GUNDERSEN LMC BEHAV HEALTH, 123 - 16TH AVENUE SO, ONALASKA, WI 546502
02/01/2019 01/31/2021GUNDERSEN LMC BEHAV HEALTH, 18606 ERVIN ST, WHITEHALL, WI 547732
02/01/2019 01/31/2021GUNDERSEN LMC CTR FOR VIOL PRE & INTER, 914 GREEN BAY ST, LA CROSSE, WI 546012
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Mental Health Program Directory By County, City, and Provider Name
1488LA CROSSE COUNTY HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201802/01/1978
(608) 785-6122
(608) [email protected] OINES
County: La CrosseLA CROSSE, WI 54601300 N 4TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020LAKEVIEW HEALTH CENTER, 902 GARLAND ST, WEST SALEM, WI 546691
05/01/2018 04/30/2020RAVENWOOD, 902 GARLAND ST. EAST, WEST SALEM, WI 546691
05/01/2018 04/30/2020ROLLING HILLS, 14346 COUNTY HWY B, SPARTA, WI 546561
1362MAYO CLINIC HEALTH SYSTEM FRANCISCAN MEDICAL CENTER INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201909/01/1977
(608) 392-9793
(608) [email protected] SOWDERS
County: La CrosseLA CROSSE, WI 54601212 S 11TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 06/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 06/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - BELLE SQUARE, 232 3RD ST N STE #100, LA CROSSE, WI 546011
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - HOLMEN CLINIC, 1303 MAIN STREET, HOLMEN, WI 546362
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - MENS RECOVERY HOUSE, 1005 JACKSON STREET, LA CROSSE, WI 54601
2
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - ONALASKA CLINIC, 191 THEATER ROAD, ONALASKA, WI 546502
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - PRAIRIE DU CHIEN CLINIC, 800 E BLACKHAWK AVENUE, PRAIRIE DU CHIEN, WI 53821
2
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - SPARTA, 310 WEST MAIN STREET, SPARTA, WI 546562
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - TOMAH, 325 BUTTS AVENUE, TOMAH, WI 546602
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN - WOMENS RECOVERY HOUSE, 518 SO 10TH STREET, LA CROSSE, WI 54601
2
06/01/2019 05/31/2021MAYO CLINIC FRANCISCAN MEDICAL CENTER, 800 WEST AVENUE SOUTH, LA CROSSE, WI 546012
06/01/2019 05/31/2021MAYO CLINIC FRANSISCAN - ARCADIA, 895 SO DETTLOFF DRIVE, ARCADIA, WI 546122
06/01/2019 05/31/2021MAYO CLINIC FRANSISCAN - GERARD HALL, 940 DIVISION STREET, LA CROSSE, WI 546012
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Mental Health Program Directory By County, City, and Provider Name
3005PEACE OF MIND COUNSELING
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/2013
(608) 782-4426
(608) [email protected] CLARK
County: La CrosseLA CROSSE, WI 54601115 - 5TH AVENUE SOUTH, SUITE 507
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/29/2019 07/31/2020PEACE OF MIND - BLACK RIVER FALLS, 920 FILLMORE ST, BLACK RIVER FALLS, WI 546152
11/28/2018 07/31/2020PEACE OF MIND - LA CRESCENT, 136 S WALNUT ST, LA CRESCENT, MN 559472
08/01/2018 07/31/2020PEACE OF MIND - SPARTA, 103 S WATER ST, SPARTA, WI 546562
11/01/2019 07/31/2020PEACE OF MIND - SPARTA, 107 E OAK ST, SPARTA, WI 546562
08/01/2018 07/31/2020PEACE OF MIND CNSLNG - WINONA MN, 902 E 2ND ST, SUITE 322, WINONA, MN 559872
08/01/2018 07/31/2020ARCADIA ELEMENTARY SCHOOL, 358 EAST RIVER ST, ARCADIA, WI 546123
08/01/2018 07/31/2020ARCADIA MIDDLE/HIGH SCHOOL, 756 RAIDER DR, ARCADIA, WI 546123
08/01/2018 07/31/2020BLACK RIVER FALLS HIGH SCHOOL, 1200 PIERCE STREET, BLACK RIVER FALLS, WI 546153
08/01/2018 07/31/2020BLACK RIVER FALLS MIDDLE SCHOOL, 1202 PIERCE ST, BLACK RIVER FALLS, WI 546153
08/01/2018 07/31/2020BLAIR-TAYLOR SCHOOL DISTRICT, N31024 ELLAND ROAD, BLAIR, WI 546163
08/01/2018 07/31/2020CASHTON ELEMENTARY, 436 FRONT ST, CASHTON, WI 546193
08/01/2018 07/31/2020CATARACT ELEMENTARY SCHOOL, 6070 STATE HWY 27, SPARTA, WI 546563
08/01/2018 07/31/2020CENTRAL HIGH SCHOOL, 1801 LOSEY BLVD, LA CROSSE, WI 546013
08/01/2018 07/31/2020COCHRANE-FOUNTAIN CITY SCHOOL DISTRICT, S2770 STATE HIWY 35, FOUNTAIN CITY, WI 546293
08/01/2018 07/31/2020COULEE CONNECTIONS, 99 MILWAUKEE ST, LA CROSSE, WI 546013
08/01/2018 07/31/2020COULEE REGION ALTERNATIVE SCHOOL, 20873 COLLEGE AVENUE, GALESVILLE, WI 546303
08/01/2018 07/31/2020DE SOTO MIDDLE/HIGH SCHOOL, 615 MAIN ST, DE SOTO, WI 546243
08/01/2018 07/31/2020EMERSON ELEMENTARY SCHOOL, 2102 CAMPBELL ROAD, LA CROSSE, WI 546013
08/01/2018 07/31/2020EVERGREEN ELEMENTARY, 510 LONG COULEE ROAD, HOLMEN, WI 546363
08/01/2018 07/31/2020FORREST STREET EARLY LEARNING CENTER, 720 FORREST ST, BLACK RIVER FALLS, WI 546153
08/01/2018 07/31/2020G-E-T ELEMENTARY SCHOOL - GALESVILLE, 17151 FRENCH RD, GALESVILLE, WI 546303
08/01/2018 07/31/2020G-E-T HIGH SCHOOL, 17511 NORTH MAIN ST, GALESVILLE, WI 546303
08/01/2018 07/31/2020G-E-T MIDDLE SCHOOL, 19650 PRAIRIE RIDGE LANE, GALESVILLE, WI 546303
08/01/2018 07/31/2020HAMILTON ELEMENTARY SCHOOL, 1111 SOUTH 7TH STREET, LA CROSSE, WI 546013
08/01/2018 07/31/2020HIGH POINT CHARTER SCHOOL, 201 E FRANKLIN ST, SPARTA, WI 546563
08/01/2018 07/31/2020HOLMEN HIGH SCHOOL, 1001 MCHUGH ROAD, HOLMEN, WI 546363
08/01/2018 07/31/2020HOLMEN MIDDLE SCHOOL, 502 N MAIN STREET, HOLMEN, WI 546363
08/01/2018 07/31/2020INDEPENDENCE K-12, 23786 INDEE BLVD, INDEPENDENCE, WI 547473
08/01/2018 07/31/2020LA CRESCENT ELEMENTARY, 504 SOUTH OAK STREET, LA CRESCENT, MN 559473
08/01/2018 07/31/2020LA CRESCENT MS/HS, 1301 LANCER BLVD, LA CRESCENT, MN 559473
08/01/2018 07/31/2020LAKEVIEW MONTESSORI SCHOOL, 711 PINE ST, SPARTA, WI 546563
08/01/2018 07/31/2020LAWRENCE-LAWSON ELEMENTARY SCHOOL, 429 N BLACK RIVER ST, SPARTA, WI 546563
09/13/2019 07/31/2020LINCOLN ELEMENTARY SCHOOL, 207 EAST PEARL, MERRILLAN, WI 547543
09/13/2019 07/31/2020LINCOLN MS/HS, 124 S SCHOOL STREET, ALMA CENTER, WI 546113
08/01/2018 07/31/2020LOGAN HIGH SCHOOL, 1500 RANGER DR, LA CROSSE, WI 546013
08/01/2018 07/31/2020MAPLEWOOD ELEMENTARY SCHOOL, 900 E MONTGOMERY ST, SPARTA, WI 546563
08/01/2018 07/31/2020MEADOWVIEW INTERMEDIATE SCHOOL, 125 N WATER ST, SPARTA, WI 546563
08/01/2018 07/31/2020NORTHSIDE ELEMENTARY, 1611 KANE ST, LA CROSSE, WI 546013
08/01/2018 07/31/2020ONALASKA HIGH SCHOOL, 700 HILLTOPPER PLACE, ONALASKA, WI 546503
08/01/2018 07/31/2020ONALASKA MIDDLE SCHOOL, 711 QUINCY STREET, ONALASKA, WI 546503
08/01/2018 07/31/2020PRAIRIE VIEW ELEMENTARY, 1201 NEWPORT LANE, HOLMEN, WI 546363
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Mental Health Program Directory By County, City, and Provider Name
08/01/2018 07/31/2020RED CREEK ELEMENTARY, 410 HIGHWAY A, BLACK RIVER FALLS, WI 546153
08/01/2018 07/31/2020SAND LAKE ELEMENTARY, 3600 SAND LAKE ROAD, HOLMEN, WI 546363
08/01/2018 07/31/2020SOUTHSIDE ELEMENTARY, 1023 WALRATH ST, SPARTA, WI 546563
08/01/2018 07/31/2020SPARTA ALT IND LEARNING SCHOOLS (SAILS), 201 E FRANKLIN ST, SPARTA, WI 546563
08/01/2018 07/31/2020SPARTA HIGH SCHOOL, 506 N BLACK RIVER ST, SPARTA, WI 546563
08/01/2018 07/31/2020SPARTA MEADOWVIEW MIDDLE SCHOOL, 1225 N BLACK RIVER ST, SPARTA, WI 546563
08/01/2018 07/31/2020STODDARD ELEMENTARY SCHOOL, 300 N. COTTAGE ST., STODDARD, WI 546583
08/01/2018 07/31/2020VIKING ELEMENTARY, 500 E WALL STREET, HOLMEN, WI 546363
08/01/2018 07/31/2020WHITEHALL SCHOOL DISTRICT, 19121 HOBSON ST, WHITEHALL, WI 547733
3044WESTERN REGION INTEGRATED CARE CCS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/04/2014
(608) 785-6122
(608) [email protected] ENGLING
County: La CrosseLA CROSSE, WI 54602300 - 4TH STREET NORTH
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/30/2019 06/30/2020JACKSON COUNTY HUMAN SERVICES - CCS, 421 COUNTY RD R, BLACK RIVER FALLS, WI 546152
12/03/2018 06/30/2020MONROE COUNTY HUMAN SERVICES CCS, 112 S COURT ST RM 3000, SPARTA, WI 546562
3058WESTERN REGION INTEGRATED CARE CONSORTIUM (WRIC) CSP
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201811/01/2014
(608) 791-6262
(608) [email protected] YUTUC
County: La CrosseLA CROSSE, WI 546011707 MAIN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2018 12/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2018 12/31/2019FAMILY & CHILDREN'S CENTER, JACKSON COUNTY OFFICE, 221 MAIN ST., STE. L101, BLACK RIVER
FALLS, WI 546152
01/01/2018 12/31/2019FAMILY & CHILDREN'S CENTER, MONROE COUNTY OFFICE, 920 WEST WISCONSIN, SPARTA, WI 54656
2
ONALASKA
2280GUNDERSEN LUTHERAN MEDICAL CENTER, INC., BEHAVIORAL HEALTH
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2000
(608) 775-6055
(608) [email protected] HAUG
County: La CrosseONALASKA, WI 54650123 - 16TH AVENUE, SOUTH
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 12/01/2018 11/30/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2778LIVING WELL CHRISTIAN FAMILY CLINIC, LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2008
(608) 783-1456
(608) [email protected] LIPPS
County: La CrosseONALASKA, WI 54650575 LESTER AVENUE STE #100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
2467STEIN COUNSELING AND CONSULTING SERVICES, LTD
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201908/06/2003
(608) 785-7477
(608) [email protected] STEIN
County: La CrosseONALASKA, WI 54650571 BRAUND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021STEIN COUNSELING AND CONSULTING SERVICES, 206 ROOSEVELT RD STE 147, BLACK RIVER
FALLS, WI 546152
09/01/2019 08/31/2021MELROSE-MINDORO JR/SR HIGH, N181 STATE ROAD 108, MELROSE, WI 546423
Setting Begin/End DatesNon-Certified School Setting(s)09/01/2019 08/31/2021CENTRAL HIGH SCHOOL, 1801 LOSEY BLVD S, LA CROSSE, WI 54601
09/01/2019 08/31/2021EAGLE BLUFF ELEMENTARY, 200 EAGLE BLUFF COURT, ONALASKA, WI 54650
09/01/2019 08/31/2021EMERSON ELEMENTARY, 2101 CAMPBELL RD, LA CROSSE, WI 54601
09/01/2019 08/31/2021HAMILTON ELEMENTARY, 111 7TH STREET S, LA CROSSE, WI 54601
09/01/2019 08/31/2021LINCOLN MIDDLE SCHOOL, 510 9TH STREET S, LA CROSSE, WI 54601
09/01/2019 08/31/2021LOGAN HIGH SCHOOL, 1500 RANGOR DR, LA CROSSE, WI 54603
09/01/2019 08/31/2021LOGAN MIDDLE SCHOOL, 1450 AVON ST, LA CROSSE, WI 54601
09/01/2019 08/31/2021LONGFELLOW MIDDLE SCHOOL, 1900 DENTON ST, LA CROSSE, WI 54601
09/01/2019 08/31/2021NORTHERN HILLS ELEMENTARY, 910 EAST AVE NORTH, ONALASKA, WI 54650
09/01/2019 08/31/2021NORTHSIDE ELEMENTARY, 1611 KANE ST, LA CROSSE, WI 54603
09/01/2019 08/31/2021ONALASKA HIGH SCHOOL, 700 HILLTOPPER PLACE, ONALASKA, WI 54650
09/01/2019 08/31/2021ONALASKA MIDDLE SCHOOL, 711 QUINCY ST, ONALASKA, WI 54650
09/01/2019 08/31/2021PERTZCH ELEMENTARY, 524 MAIN ST, ONALASKA, WI 54650
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Mental Health Program Directory By County, City, and Provider Name
LAFAYETTEDARLINGTON
1490LAFAYETTE COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/01/1975
(608) 776-4914
(608) [email protected] SCHUHMACHER
County: LafayetteDARLINGTON, WI 5353015701 COUNTY ROAD K STE 3
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2279LAFAYETTE COUNTY DEPARTMENT OF HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2000
(608) 776-4914
(608) [email protected] SCHUHMACHER
County: LafayetteDARLINGTON, WI 5353015701 COUNTY ROAD K
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
LANGLADEANTIGO
2890LANGLADE HOSPITAL GENERAL CLINIC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/30/202108/01/201907/27/2010
(715) 627-6183
(715) [email protected] WILLIAMS
County: LangladeANTIGO, WI 54409110 E FIFTH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/30/2021ASPIRUS MERRILL CLINIC, 3333 EAST MAIN ST, MERRILL, WI 544521
08/01/2019 07/30/2021ASPIRUS ELCHO CLINIC, W10618 CLINIC DR, ELCHO, WI 544282
ELCHO
2533WETZEL-RASMUSSEN COUNSELING SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2004
(715) 275-4510
(715) [email protected] WETZEL-RASMUSSEN
County: LangladeELCHO, WI 54428N11230 ANTIGO STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)07/01/2019 06/30/2021ELCHO SCHOOL DISTRICT, N11268 ANTIGO STREET, ELCHO, WI 54428
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Mental Health Program Directory By County, City, and Provider Name
LINCOLNTOMAHAWK
2806PSYCHOLOGICAL RESOURCE CENTER, LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/01/2008
(715) 224-2106
(715) [email protected] K MCCLUSKEY
County: LincolnTOMAHAWK, WI 544871218 N 4TH STREET, #108
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020TOMAHAWK SCHOOLS, 1048 EAST KING RD, TOMAHAWK, WI 544873
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Mental Health Program Directory By County, City, and Provider Name
MANITOWOCMANITOWOC
1555MANITOWOC COUNTY HUMAN SERVICES DEPARTMENT
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/01/1975
(920) 683-4243
(920) [email protected] FURE
County: ManitowocMANITOWOC, WI 54220926 S. 8TH STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 11/01/2019 10/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 11/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2285MANITOWOC COUNTY HUMAN SERVICES DEPARTMENT CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/01/1975
(920) 683-4243
(920) [email protected] FURE
County: ManitowocMANITOWOC, WI 54220926 S. 8TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 11/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2711MANITOWOC COUNTY HUMAN SERVICES DEPT COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201902/06/2007
(920) 683-4243
(920) [email protected] FURE
County: ManitowocMANITOWOC, WI 54220926 S. 8TH STREET
CCS Affiliaton: 09/01/2014Begin: End: Lead:Northeastern Region CCS Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2019 02/28/2021
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 03/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
TWO RIVERS
1386AURORA BEHAVIORAL HEALTH CENTER - MANITOWOC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201809/01/1993
(920) 793-7430
(920) [email protected] ROLLIN
County: ManitowocTWO RIVERS, WI 542415300 MEMORIAL DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1591PHOENIX BEHAVIORAL HEALTH SERVICES, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201808/26/1991
(920) 657-1784
(920) [email protected] WILCOX
County: ManitowocTWO RIVERS, WI 542413120 MEMORIAL DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/09/2019 10/31/2020PHOENIX BEHAVIORAL HEALTH SERVICES, LLC, 1600 SHAWANO AVE #100, GREEN BAY, WI 543031
11/01/2018 10/31/2020PHOENIX BEHAVIORAL HEALTH SERVICES, LLC, 2619 C POST ROAD STE 2, STEVENS POINT, WI 54481
1
Setting Begin/End DatesNon-Certified School Setting(s)11/01/2018 10/31/2020PBHS KEWAUNEE HIGH SCHOOL, 911 3RD STREET, KEWAUNEE, WI 54216
11/01/2018 10/31/2020PBHS LIGHTHOUSE LEARNING ACADEMY, 4521 LINCOLN AVE, TWO RIVERS, WI 54241
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Mental Health Program Directory By County, City, and Provider Name
MARATHONMARSHFIELD
2981CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/27/2012
(715) 384-2724
(715) [email protected] ANTONIEWICZ
County: MarathonMARSHFIELD, WI 544492001 S CENTRAL AVE, STE A-B
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020CHILD & ADOLESCENT PSYCHIATRY CONSULTING LLC, 3930 8TH STREET SO, STE 101, WISCONSIN
RAPIDS, WI 544942
09/01/2018 08/31/2020ABBOTSFORD ELEMENTARY SCHOOL, 510 W HEMLOCK STREET, ABBOTSFORD, WI 544053
09/01/2018 08/31/2020ALEXANDER MIDDLE SCHOOL, 540 BIRCH STREET, NEKOOSA, WI 544573
09/01/2018 08/31/2020ALMOND - BANCROFT SCHOOL, 1336 ELM ST, ALMOND, WI 549093
09/01/2018 08/31/2020COLBY ELEMENTARY SCHOOL, 202 WEST DOLF STREET PO BOX 80, COLBY, WI 544213
09/01/2018 08/31/2020COLBY HIGH SCHOOL, 703 N 2ND STREET, COLBY, WI 544213
09/01/2018 08/31/2020HUMKE ELEMENTARY, 500 S. SECTION STREET, NEKOOSA, WI 544573
09/01/2018 08/31/2020NEKOOSA HIGH SCHOOL, 500 CEDAR ST, NEKOOSA, WI 544573
09/01/2018 08/31/2020PITTSVILLE ELEMENTARY SCHOOL, 5459 ELEMENTARY AVE #1, PITTSVILLE, WI 544663
09/01/2018 08/31/2020PITTSVILLE HIGH SCHOOL, 5407 1ST AVENUE, PITTSVILLE, WI 544663
09/01/2018 08/31/2020SPENCER HIGH SCHOOL, 300 SCHOOL STREET, SPENCER, WI 544793
09/01/2018 08/31/2020STRATFORD ELEMENTARY SCHOOL, 522 N. 3RD AVENUE, STRATFORD, WI 544843
09/01/2018 08/31/2020WISCONSIN RAPIDS AREA MIDDLE SCHOOL, 1921 27TH AVENUE SOUTH, WISCONSIN RAPIDS, WI 54495
3
3217GATEWAYS COUNSELING SERVICES LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201907/05/2018
(715) 898-1240
(715) [email protected] MESSICK
County: MarathonMARSHFIELD, WI 544491905 S CENTRAL AVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021GATEWAYS COUNSELING SERVICES, 510 W 5TH STREET, NEILLSVILLE, WI 544562
10/25/2019 07/31/2021GATEWAYS COUNSELING SERVICES, 7350 US HWY 12, BLACK RIVER FALLS, WI 546152
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Mental Health Program Directory By County, City, and Provider Name
WAUSAU
2719ACHIEVE CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/2007
(715) 845-4970
(715) [email protected] WESLEY
County: MarathonWAUSAU, WI 54401520 NORTH 28TH AVE, #200
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Setting Begin/End DatesNon-Certified School Setting(s)04/01/2018 03/31/2020DC EVEREST HIGH SCHOOL, 6500 ALDERSON ST, SCHOFIELD, WI 54476
04/01/2018 03/31/2020DC EVEREST IDEA/ODYSSEY, 4704 CAMP PHILLIPS RD, WESTON, WI 54476
04/01/2018 03/31/2020DC EVEREST JUNIOR HIGH, 1000 MACHMILLER ST, SCHOFIELD, WI 54476
04/01/2018 03/31/2020HORACE MANN MIDDLE SCHOOL, 3101 NORTH 13TH ST, WAUSAU, WI 54403
04/01/2018 03/31/2020PEER PROGRAM, 111 E. THOMAS ST, WAUSAU, WI 54401
04/01/2018 03/31/2020ROSHOLT SCHOOL, 346 W RANDOLPH ST, ROSHOLT, WI 54473
2873ACS CLINICAL SERVICES, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/15/2009
(715) 355-0667
(715) [email protected] YEAGER
County: MarathonWAUSAU, WI 54403903 N 2ND STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
1153CENTER FOR HUMAN DEVELOPMENT
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/01/1996
(715) 845-6477
(715) [email protected] WEBSTER
County: MarathonWAUSAU, WI 54403631 FOREST STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021CENTER FOR HUMAN DEVELOPMENT INC, 1509 N FOURTH ST, SUITE 2, TOMAHAWK, WI 544871
12/04/2019 11/30/2021ATHENS GRADE SCHOOL, 209 SCHLEGEL ST, ATHENS, WI 544113
12/01/2019 11/30/2021ATHENS MIDDLE/HIGH SCHOOL, 601 W LIMIT RD, ATHENS, WI 544113
12/01/2019 11/30/2021JEFFERSON ELEMENTARY SCHOOL, 1914 W JACKSON ST, MERRILL, WI 544523
12/01/2019 11/30/2021KATE GOODRICH ELEMENTARY SCHOOL, 505 W 10TH ST, MERRILL, WI 544523
12/01/2019 11/30/2021MERRILL HIGH SCHOOL, 1201 NORTH SALES STREET, MERRILL, WI 544523
12/01/2019 11/30/2021PRAIRIE RIVER MIDDLE SCHOOL, 106 POLK STREET, MERRILL, WI 544523
12/01/2019 11/30/2021TOMAHAWK K-12, 1048 E KING RD, TOMAHAWK, WI 544873
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Mental Health Program Directory By County, City, and Provider Name
2464CHARIS COUNSELING, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/2003
(715) 848-8665
(715) [email protected] THOMPSON
County: MarathonWAUSAU, WI 544012620 W. STEWART AVENUE, #310
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020CHARIS COUNSELING, LLC, 101 W MC MILLAN STREET, #2B, MARSHFIELD, WI 544492
Setting Begin/End DatesNon-Certified School Setting(s)09/01/2018 08/31/2020THOMAS JEFFERSON ELEMENTARY SCHOOL, 500 RANDOLPH ST, WAUSAU, WI 54401
1185CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201812/01/1983
(715) 848-2959
(715) [email protected] HANSON
County: MarathonWAUSAU, WI 54401705 S. 24TH AVENUE, #402
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2018 12/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/30/2018 12/31/2019CHILDREN'S SERVICE SOCIETY OF WI - MARSHFIELD, 725 S CENTRAL AVE, MARSHFIELD, WI 544492
01/01/2018 12/31/2019CHILDREN'S SERVICE SOCIETY OF WI-STEVENS PT, 1466 WATER STREET, STEVENS POINT, WI 54481
2
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2018 12/31/2019CHARLES F FERNANDEZ CENTER, 1025 CLARK STREET, STEVENS POINT, WI 54481
01/01/2018 12/31/2019JEFFERSON ELEMENTARY, 1800 EAST AVE, STEVENS POINT, WI 54481
01/01/2018 12/31/2019MADISON ELEMENTARY, 600 MARIA DRIVE, STEVENS POINT, WI 54481
01/01/2018 12/31/2019MARSHFIELD HIGH SCHOOL, 1401 E BECKER ROAD, MARSHFIELD, WI 54449
01/01/2018 12/31/2019MCDILL ELEMENTARY, 2516 SCHOOL STREET, STEVENS POINT, WI 54481
01/01/2018 12/31/2019MCKINLEY ELEMENTARY, 2926 BLAINE STREET, STEVENS POINT, WI 54481
01/01/2018 12/31/2019NEILLSVILLE ELEMENTARY SCHOOL, 504 E FIFTH STREET, NEILLSVILLE, WI 54456
01/01/2018 12/31/2019NEILLSVILLE HIGH SCHOOL, 401 CENTER STREET, NEILLSVILLE, WI 54456
10/26/2018 12/31/2019TOMAHAWK ELEMENTARY SCHOOL, 1048 E KING RD, TOMAHAWK, WI 54487
10/26/2018 12/31/2019WAUSAU SCHOOL DISTRICT, 415 SEYMOUR ST, WAUSAU, WI 54402
2349DIX & GILLETTE COUNSELING SERVICES, LLP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201802/01/2001
(715) 675-2988
(715) [email protected] DIX
County: MarathonWAUSAU, WI 544011720 MERRILL AVE SUITE 401
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2018 01/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1299ELMERGREEN ASSOCIATES, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/05/1992
(715) 845-7142
(715) [email protected] ELMERGREEN
County: MarathonWAUSAU, WI 54403114 GRAND AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
1677NORTH CENTRAL HEALTH CARE
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201910/01/1975
(715) 848-2362
(715) [email protected] LOY
County: MarathonWAUSAU, WI 544031100 LAKE VIEW DRIVE
Service Begin/End DatesAdm Code
CSAS-AMBULATORY DETOXIFICATION DHS 75.08 03/01/2019 02/28/2021
CSAS-DAY TREATMENT DHS 75.12 03/01/2019 02/28/2021
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 03/01/2019 02/28/2021
CSAS-MEDICALLY MONITORED TREATMENT DHS 75.11 03/01/2019 02/28/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 03/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2019 11/29/2019
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 03/01/2019 02/28/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 03/01/2019 02/28/2021
MENTAL HEALTH-INPATIENT DHS 61.71 03/01/2019 02/28/2021
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021ANTIGO CENTER, 1225 LANGLADE ROAD, ANTIGO, WI 544092
03/01/2019 02/28/2021MERRILL CENTER, 607 N SALES STREET, #309, MERRILL, WI 544522
03/01/2019 02/28/2021TOMAHAWK OFFICE, 213 WEST WISCONSIN AVE, TOMAHAWK, WI 544872
Setting Begin/End DatesNon-Certified School Setting(s)03/01/2019 02/28/2021DC EVEREST SENIOR HIGH, 6500 ALDERSON STREET, SCHOFIELD, WI 54476
03/01/2019 02/28/2021MOSINEE ELEMENTARY SCHOOL, 600 12TH STREET, MOSINEE, WI 54455
03/01/2019 02/28/2021MOSINEE HIGH SCHOOL, 1000 HIGH STREET, MOSINEE, WI 54455
03/01/2019 02/28/2021MOSINEE MIDDLE SCHOOL, 700 HIGH STREET, MOSINEE, WI 54455
3041NORTH CENTRAL HEALTH CARE CCS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202007/01/2014
(715) 841-5146
(715) [email protected] HINTZ
County: MarathonWAUSAU, WI 544031100 LAKE VIEW DRIVE
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL UNIFIED BOARD DHS 36 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021NORTH CENTRAL HEALTH CARE - LANGLADE COUNTY, 1225 LANGLADE ROAD, ANTIGO, WI 544092
01/01/2020 12/31/2021NORTH CENTRAL HEALTH CARE - LINCOLN COUNTY, 607 N SALES ST STE 309, MERRILL, WI 544522
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Mental Health Program Directory By County, City, and Provider Name
2297NORTH CENTRAL HEALTH CARE CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202010/01/1975
(715) 841-5146
(715) [email protected] HINTZ
County: MarathonWAUSAU, WI 544031100 LAKE VIEW DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021NORTH CENTRAL HEALTH CARE CSP - LANGLADE, 1225 LANGLADE ROAD, ANTIGO, WI 544092
01/01/2020 12/31/2021NORTH CENTRAL HEALTH CARE CSP - LINCOLN, 607 N SALES ST STE 309, MERRILL, WI 544522
2404NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - WAUSAU
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201909/18/2002
(888) 226-8713
(715) [email protected] MAURER
County: MarathonWAUSAU, WI 544015655 N 28TH AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2019 01/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
02/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2715PEACEFUL SOLUTIONS COUNSELING
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/2007
(715) 675-7238
(715) [email protected] SHIPWAY
County: MarathonWAUSAU, WI 54403741 NORTH 1ST STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020PEACEFUL SOLUTIONS COUNSELING, 726 EAST 2ND STREET, MERRILL, WI 544521
09/11/2019 02/29/2020EDGAR PUBLIC SCHOOL, 203 E BIRCH ST, EDGAR, WI 544263
03/01/2018 02/29/2020WAUSAU EAST HIGH SCHOOL, 2607 NORTH 18TH STREET, WAUSAU, WI 544033
2879PRIMARY CONNECTION HEALTH CARE, INC. DBA BRIDGE COMMUNITY HEALTH CLINIC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/2009
(715) 845-5385
(715) [email protected] KELESKE
County: MarathonWAUSAU, WI 544031810 N SECOND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3179THE CARING TREE - CHILDREN'S COUNSELING CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/22/201908/04/2017
(715) 870-2267
(715) [email protected] LOOMANS
County: MarathonWAUSAU, WI 544012804 RIB MOUNTAIN DRIVE, STE D
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/22/2019 07/31/2020
Services
NO BRANCH LOCATIONS
1909THE CENTRE FOR WELL-BEING INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201902/17/1992
(888) 778-6750
(715) [email protected] SALZMAN
County: MarathonWAUSAU, WI 54403901 N 6TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021THE CENTRE FOR WELL-BEING, 310A N BROWN ST, RHINELANDER, WI 545012
09/01/2019 08/31/2021THE CENTRE FOR WELL-BEING, 4601 CAMP PHILLIPS RD, WESTON, WI 544762
09/01/2019 08/31/2021THE CENTRE FOR WELL-BEING, 607 CEDAR AVE, MERRILL, WI 544522
09/01/2019 08/31/2021WAUSAU WEST HIGH SCHOOL, 1200 WEST WAUSAU AVENUE, WAUSAU, WI 544013
WESTON
2752ASPIRUS BEHAVIORAL MEDICINE CLINIC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2007
(715) 241-5448
(715) [email protected] WILLIAMS
County: MarathonWESTON, WI 544764005 COMMUNITY CENTER DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021ASPIRUS ANTIGO CLINIC, 112 EAST 5TH AVE, ANTIGO, WI 544091
03/01/2019 02/28/2021ASPIRUS HOUGHTON CLINIC, 1000 CEDAR ST, HOUGHTON, MI 499311
03/01/2019 02/28/2021ASPIRUS MEDFORD CLINIC, 143 S GIBSON ST, MEDFORD, WI 544511
03/01/2019 02/28/2021ASPIRUS WESTON CLINIC - WI RAPIDS OUTREACH, 410 DEWEY ST, WISCONSIN RAPIDS, WI 544941
03/01/2019 02/28/2021ASPIRUS RHINELANDER OUTREACH, 1630 N CHIPPEWA DR, RHINELANDER, WI 545012
11/11/2019 02/28/2021ASPIRUS WAUSAU FAMILY CLINIC, 4005 WINDRIDGE DR, WAUSAU, WI 544012
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Mental Health Program Directory By County, City, and Provider Name
2939COMPASS COUNSELING WAUSAU, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/25/2011
(715) 298-6365
(715) [email protected] PETERSON
County: MarathonWESTON, WI 544763704 WESTON AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/08/2019 03/31/2020COMPASS COUNSELING WAUSAU, LLC, 2811 8TH ST S, STE 60, WISCONSIN RAPIDS, WI 544942
04/01/2018 03/31/2020COMPASS COUNSELING WAUSAU, LLC, 530 GRANT ST, WAUSAU, WI 544032
07/22/2019 03/31/2020COMPASS COUNSELING, 718 GRAND AVE, SCHOFIELD, WI 544762
10/24/2018 03/31/2020AMHERST SCHOOLS, 357 N MAIN ST, AMHERST, WI 544063
10/24/2018 03/31/2020PORT EDWARDS ELEMENTARY, 951 5TH ST, PORT EDWARDS, WI 544693
10/24/2018 03/31/2020PORT EDWARDS HIGH/MIDDLE, 801 2ND ST, PORT EDWARDS, WI 544693
11/18/2019 03/31/2020ROTHSCHILD ELEMENTARY SCHOOL, 801 1ST ST, ROTHSCHILD, WI 544743
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Mental Health Program Directory By County, City, and Provider Name
MARINETTEMARINETTE
3074MARINETTE AND OCONTO COUNTY COMPREHENSIVE COMMUNITY SERVICES PROGRAM
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/01/2015
(715) 732-7711
(715) [email protected] GERBYSHAK
County: MarinetteMARINETTE, WI 541432500 HALL AVE
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 10/01/2018 09/30/2020
CCS REGIONAL MODEL MULTI-COUNTY W/TELEHEALTH DHS 36 10/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2018 09/30/2020OCONTO COUNTY DEPT. OF HEALTH AND HUMAN SERVICES, 501 PARK AVE., OCONTO, WI 541531
1559MARINETTE COUNTY HEALTH & HUMAN SERVICES DEPARTMENT / ADAPT
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201901/01/1982
(715) 732-7711
(715) [email protected] FREEMAN
County: MarinetteMARINETTE, WI 541432500 HALL AVENUE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 12/01/2019 11/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021MARINETTE COUNTY HHSD/ADAPT, 1201 JACKSON STREET, NIAGARA, WI 541512
2340MARINETTE COUNTY HEALTH & HUMAN SERVICES DEPARTMENT/ADAPT CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201901/01/1982
(715) 732-7766
(715) [email protected] BREAULT
County: MarinetteMARINETTE, WI 541432500 HALL AVENUE, #A
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
MARQUETTEMONTELLO
1560MARQUETTE COUNTY HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201803/01/1981
(608) 297-2148
(608) [email protected] WEBB
County: MarquetteMONTELLO, WI 53949480 UNDERWOOD AVE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 05/01/2018 04/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
CSAS-PREVENTION DHS 75.04 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020MONTELLO SCHOOLS, 222 FOREST LANE, MONTELLO, WI 539493
05/01/2018 04/30/2020WESTFIELD ELEMENTARY SCHOOL, 329 HAWK LANE, WESTFIELD, WI 539643
05/01/2018 04/30/2020WESTFIELD MIDDLE/HIGH SCHOOL, N7046 COUNTY ROAD M, WESTFIELD, WI 539643
3108MARQUETTE COUNTY HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/01/2016
(608) 297-2148
(608) [email protected] WEBB
County: MarquetteMONTELLO, WI 53949480 UNDERWOOD AVE
CCS Affiliaton: 01/01/2016Begin: End: Lead:Central Wisconsin Health Partnership V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 01/01/2019 12/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 01/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
3125MARQUETTE COUNTY HUMAN SERVICES - CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/28/2016
(608) 297-2148
(608) [email protected] WEBB
County: MarquetteMONTELLO, WI 53949480 UNDERWOOD AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2019 02/28/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 03/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WESTFIELD
1693NORTHLAND COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201801/01/1983
(608) 296-1590
(608) [email protected] JON MATTHEW
County: MarquetteWESTFIELD, WI 53964161 SPRING STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020NORTHLAND COMMUNITY SERVICES, 139 S MAIN, PO BOX 1178, ADAMS, WI 539101
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Mental Health Program Directory By County, City, and Provider Name
MENOMINEEKESHENA
1587MENOMINEE COUNTY HUMAN SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201911/01/1994
(715) 799-3517
(715) [email protected] REID
County: MenomineeKESHENA, WI 54135W3272 WOLF RIVER ROAD
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 05/01/2019 04/30/2021
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 05/01/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 05/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2019 04/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 05/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2228MENOMINEE COUNTY HUMAN SERVICES CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201911/01/1994
(715) 799-3517
(715) [email protected] DOWN
County: MenomineeKESHENA, WI 54135W3272 WOLF RIVER ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
1588MENOMINEE TRIBAL CLINIC, BEHAVIORAL HEALTH SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/03/1993
(715) 799-3929
(715) [email protected] OPPER
County: MenomineeKESHENA, WI 54135W3275 WOLF RIVER DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
MILWAUKEEBROWN DEER
3255AMERICAN RELAXATION COUNSELING SERVICE, LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201906/01/2019
() -
(262) [email protected] FORD
County: MilwaukeeBROWN DEER, WI 532235600 W BROWN DEER RD STE 106
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2020
Services
NO BRANCH LOCATIONS
2882REACH, INC. COMPREHENSIVE MENTAL HEALTH CLINIC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/01/2009
(414) 371-1400
(414) [email protected] PUMPHREY
County: MilwaukeeBROWN DEER, WI 532234550 W BRADLEY ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
2532ROGERS MEMORIAL HOSPITAL - CHILD & ADOLESCENT DAY TREATMENT
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/13/2004
(414) 355-9665
(414) [email protected] SCHULTZ
County: MilwaukeeBROWN DEER, WI 532234555 W SCHROEDER DRIVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 07/01/2019 06/30/2021
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 07/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
3084ROGERS MEMORIAL HOSPITAL, INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/28/2015
(414) 797-0804
(414) [email protected] SCHULTZ
County: MilwaukeeBROWN DEER, WI 532234600 WEST SCHROEDER DRIVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 04/01/2018 03/31/2020
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 04/01/2018 03/31/2020
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 04/01/2018 03/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
CUDAHY
1867AURORA HEALTH CARE METRO, INC. DBA AURORA ST. LUKE'S SOUTH SHORE
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201811/01/1989
(414) 489-4056
(414) [email protected] SURFUS-LEWISTON
County: MilwaukeeCUDAHY, WI 531105900 S. LAKE DRIVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 10/01/2018 09/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
FRANKLIN
1650AURORA BEHAVIORAL HEALTH - FRANKLIN
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/02/1994
(414) 529-9188
(414) [email protected] VALENTIN
County: MilwaukeeFRANKLIN, WI 531329200 W. LOOMIS ROAD, #217
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/29/2019 04/30/2021AURORA BEHAVIORAL HEALTH CENTER - 84 SOUTH, 9000 SURA LANE, GREENFIELD, WI 532282
05/01/2019 04/30/2021AURORA BEHAVIORAL HEALTH CENTER - LAYTON, 2000 E. LAYTON AVE., STE 250, SAINT FRANCIS, WI 53235
2
05/01/2019 04/30/2021AURORA BEHAVIORAL HEALTH CENTER-LAKESHORE, 3611 CHICAGO AVE, SOUTH MILWAUKEE, WI 53172
2
05/01/2019 04/30/2021AURORA BEHAVIORAL SERVICES-MUSKEGO WEST, S74W16775 JANESVILLE RD, MUSKEGO, WI 53150
2
GLENDALE
1335AURORA BEHAVIORAL HEALTH NORTH SHORE
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/1985
(414) 454-6450
(414) [email protected] BAHR
County: MilwaukeeGLENDALE, WI 532176980 N PORT WASHINGTON #202
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020AURORA BEHAVIORAL HEALTH - GOOD HOPE, 3003 W GOOD HOPE RD, MILWAUKEE, WI 532091
08/01/2018 07/31/2020AURORA BEHAVIORAL HEALTH - GRAFTON, 975 N. PORT WASHINGTON RD, GRAFTON, WI 530242
08/01/2018 07/31/2020AURORA BEHAVIORAL HEALTH - HARTFORD, 1640 E SUMNER ST, HARTFORD, WI 530272
01/08/2019 07/31/2020AURORA BEHAVIORAL HEALTH - PORT WASHINGTON, 1777 W GRAND AVE, PORT WASHINGTON, WI 53074
2
08/01/2018 07/31/2020AURORA BEHAVIORAL HEALTH - WEST BEND, 205 VALLEY AVENUE, WEST BEND, WI 530952
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Mental Health Program Directory By County, City, and Provider Name
3155AURORA PSYCHIATRIC HOSPITAL INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/29/2016
(414) 454-6450
(414) [email protected] SURFUS-LEWISTON
County: MilwaukeeGLENDALE, WI 532176980 N PORT WASHINGTON ROAD
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH-DAY TREATMENT DHS 61.75 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
2367LA CAUSA, INC.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201904/22/2002
(414) 771-7491
(414) [email protected] SCHMID
County: MilwaukeeGLENDALE, WI 532095235 N IRONWOOD ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
1683NORTH SHORE PSYCHOTHERAPY ASSOCIATES
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201807/01/1980
(414) 962-6765
(414) 962-6764nspamilwaukee@northshorepsychoTHERESA HANAMAN
County: MilwaukeeGLENDALE, WI 532175555 N PORT WASHINGTON RD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
1836SHOREHAVEN BEHAVIORAL HEALTH INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/1983
(414) 540-2171
(414) [email protected] GODEC
County: MilwaukeeGLENDALE, WI 532093900 W BROWN DEER ROAD #200
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020SHOREHAVEN BEHAVIORAL HEALTH INC, 4370 SOUTH 76TH STREET, GREENFIELD, WI 532202
07/01/2018 06/30/2020SHOREHAVEN BEHAVIORAL HEALTH, INC., 2607 N GRANDVIEW BLVD., # 102, WAUKESHA, WI 531882
07/01/2018 06/30/2020SHOREHAVEN BEHAVIORAL HEALTH, INC., 6233 DURAND AVE #F, RACINE, WI 534062
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Mental Health Program Directory By County, City, and Provider Name
3203STRESS MANAGEMENT & MENTAL HEALTH CLINICS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2018
(414) 962-4356
(414) [email protected] BUSHMAN
County: MilwaukeeGLENDALE, WI 532175225 N IRONWOOD RD #102
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
MILWAUKEE
32294TH DIMENSION RECOVERY CENTERS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/11/201810/11/2018
() -
(414) [email protected]
County: MilwaukeeMILWAUKEE, WI 532021216 N PROSPECT AVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 10/11/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/11/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/11/2018 09/30/2020
Services
NO BRANCH LOCATIONS
3119ACCESS RECOVERY MENTAL HEALTH SERVICES (ARMHS)
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/10/2016
(414) 455-1915
(414) [email protected] ADKINS
County: MilwaukeeMILWAUKEE, WI 532152727 WEST CLEVELAND AVE, #204
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 03/01/2018 02/29/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 03/01/2018 02/01/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 03/01/2018 02/01/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 03/01/2018 02/01/2019
Services
NO BRANCH LOCATIONS
2844ADKINS COUNSELING SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/22/2009
(414) 393-9773
(414) [email protected] ADKINS
County: MilwaukeeMILWAUKEE, WI 532106001 W CENTER STREET #105
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2406AIDS RESOURCE CENTER OF WISCONSIN
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201910/02/2002
(414) 225-1628
(414) [email protected] LEWIS
County: MilwaukeeMILWAUKEE, WI 53203820 N. PLANKINTON AVENUE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2019 12/31/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 01/01/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 01/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 01/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020ARCW APPLETON, 633 C WEST WISCONSIN AVE, APPLETON, WI 549111
01/01/2019 12/31/2020ARCW BELOIT, 136 W. GRAND AVENUE, BELOIT, WI 535111
01/01/2019 12/31/2020ARCW EAU CLAIRE, 505 DEWEY STREET SOUTH, #107, EAU CLAIRE, WI 547021
01/01/2019 12/31/2020ARCW KENOSHA, 1212 - 57TH STREET, KENOSHA, WI 531401
01/01/2019 12/31/2020ARCW LA CROSSE, 811 ROSE ST, LA CROSSE, WI 546031
01/01/2019 12/31/2020ARCW MADISON, 600 WILLIAMS STREET, MADISON, WI 537031
01/01/2019 12/31/2020ARCW WAUSAU, 1105 GRAND AVENUE, #1, WAUSAU, WI 544031
01/01/2019 12/31/2020ARCW GREEN BAY, 445 S ADAMS STREET, GREEN BAY, WI 543012
2875AMRI COUNSELING SERVICES, LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/2009
(866) 719-3024
(414) [email protected] JONES
County: MilwaukeeMILWAUKEE, WI 532164001 WEST CAPITOL DRIVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2018 07/31/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 08/01/2018 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 08/01/2018 07/31/2020
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 08/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/08/2019 07/31/2020AMRI COUNSELING SERVICES, 3536 W FOND DU LAC AVE, MILWAUKEE, WI 532161
08/01/2018 07/31/2020AMRI COUNSELING SERVICES, 6321 23RD AVENUE, KENOSHA, WI 531431
08/01/2018 07/31/2020MILWAUKEE ACADEMY OF SCIENCE, 2000 W KILBOURN AVE, MILWAUKEE, WI 532333
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Mental Health Program Directory By County, City, and Provider Name
2874ANGELS COUNSELING & THERAPY SERVICE
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/01/2009
(414) 455-8362
(414) [email protected] GARBA
County: MilwaukeeMILWAUKEE, WI 532258515 B WEST HAMPTON AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
3146ARUNAOBI INTEGRATED MEDICAL BEHAVIORAL HEALTH CLINIC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/201809/01/201710/06/2016
(414) 810-0587
(414) [email protected] A ANIAKUDO
County: MilwaukeeMILWAUKEE, WI 532105325 W BURLEIGH ST
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 09/01/2017 08/31/2018
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 09/01/2017 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2017 08/31/2018
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2017 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2017 08/31/2018
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2017 11/29/2019
Services
NO BRANCH LOCATIONS
3263ASAP - BEHAVIORAL HEALTH
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/19/202012/20/201912/20/2019
() -
(414) 310-9685
VERNON PARTELLO
County: MilwaukeeMILWAUKEE, WI 5321411380 W THEODORE TRECKER WAY
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/20/2019 12/19/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/20/2019 12/19/2020
Services
NO BRANCH LOCATIONS
1215ASCENSION COLUMBIA ST MARYS MILWAUKEE INPATIENT BEHAVIORAL HEALTH
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2015
(414) 585-1924
(414) [email protected] PEERBOLT
County: MilwaukeeMILWAUKEE, WI 532112301 N LAKE DR
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 07/01/2018 06/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2548ASCENSION SE WI HOSPITAL, INC ST JOSEPH BEHAVIORAL HEALTH
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/27/2004
(414) 874-1177
(414) [email protected] HESS
County: MilwaukeeMILWAUKEE, WI 532105000 W CHAMBERS ST #P210
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2547ASCENSION ST FRANCIS HOSPITAL, INC BEHAVIORAL HEALTH
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/27/2004
(414) 389-3110
(414) [email protected] HESS
County: MilwaukeeMILWAUKEE, WI 532153237 S 16TH STREET #310
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 11/01/2019 10/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021ASCENSION COLUMBIA ST MARYS AIRPORT, 4848 S 6TH ST, MILWAUKEE, WI 532211
11/01/2019 10/31/2021ASCENSION FRANKLIN MOB, 9969 S 27TH STREET, FRANKLIN, WI 531321
1839AURORA BEHAVIORAL HEALTH CENTER - SINAI
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202010/01/1987
(414) 454-6450
(414) [email protected] GRAHAM
County: MilwaukeeMILWAUKEE, WI 532331020 N 12TH ST, 401
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1336AURORA FAMILY SERVICE, INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201805/01/1977
(414) 342-5326
(414) 345-4940kevin.o'[email protected] O’BRIEN
County: MilwaukeeMILWAUKEE, WI 532083200 W HIGHLAND BOULEVARD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020CLOCK SHADOW BUILDING, 130 WEST BRUCE ST, MILWAUKEE, WI 532041
Setting Begin/End DatesNon-Certified School Setting(s)08/01/2018 07/31/2020AUDUBON TECHNOLOGY AND COMMUNICATION CENTER, 3300 S 39TH ST, MILWAUKEE, WI 53215
08/01/2018 07/31/2020CROSS TRAINERS ACADEMY, 1516 W CENTER ST, MILWAUKEE, WI 53233
08/01/2018 07/31/2020FOREST HOME ELEMENTARY SCHOOL, 1516 W FOREST HOME, MILWAUKEE, WI 53204
08/01/2018 07/31/2020HOPKINS LLOYD COMMUNITY SCHOOL, 1503 W HOPKINS ST, MILWAUKEE, WI 53206
08/01/2018 07/31/2020KAGEL ELEMENTARY SCHOOL, 1210 W MINERAL ST, MILWAUKEE, WI 53204
08/01/2018 07/31/2020NEXT DOOR FOUNDATION, 2545 N 29THS ST, MILWAUKEE, WI 53210
08/01/2018 07/31/2020WEST SIDE ACADEMY, 1945 N 31ST ST, MILWAUKEE, WI 53208
1096BELL THERAPY INC DAY ONE
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201910/01/1987
(414) 445-5995
(414) [email protected] (CINNY) ADELL
County: MilwaukeeMILWAUKEE, WI 532164065 N 35TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT DHS 61.75 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
1095BELL THERAPY COMMUNITY SUPPORT PROGRAM SOUTH
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201903/03/1997
(414) 210-2222
(414) [email protected] JONES
County: MilwaukeeMILWAUKEE, WI 532164939 WEST FOND DU LAC AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
1093BELL THERAPY INC COMMUNITY SUPPORT PROGRAM NORTH
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201909/01/1990
(414) 871-2552
(414) [email protected] STEPHENS
County: MilwaukeeMILWAUKEE, WI 532164929 W FOND DU LAC AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2456BENEDICT CENTER WOMEN'S HARM REDUCTION PROGRAM
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/15/2003
(414) 347-0148
(414) [email protected] PERRY
County: MilwaukeeMILWAUKEE, WI 532121849 MARTIN LUTHER KING DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
1132CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE, INC.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201906/01/1981
(414) 771-1674
(414) [email protected] BIBO
County: MilwaukeeMILWAUKEE, WI 532082021 N. 60TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
1177CHILD, ADOLESCENT, FAMILY & MARRIAGE THERAPY ASSOCIATES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/01/1995
(414) 272-3760
(414) [email protected] WILLIAMS
County: MilwaukeeMILWAUKEE, WI 53203161 W WISCONSIN AVE, STE 5190
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
2417CHILDREN'S HOSPITAL OF MILWAUKEE
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/22/2003
(414) 266-3735
(414) [email protected] WOLF
County: MilwaukeeMILWAUKEE, WI 53212619 W WALNUT STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
1179CHILDREN'S HOSPITAL OF WISCONSIN
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201810/01/1978
(414) 266-3735
(414) [email protected] WOLF
County: MilwaukeeMILWAUKEE, WI 532269000 W. WISCONSIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 12/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020CHILDREN'S HOSP OF WI CLINICS - MEQUON, 1655 W MEQUON RD, MEQUON, WI 530922
12/01/2018 11/30/2020CHILDREN'S HOSP OF WI CLINICS-NEW BERLIN, 4855 S MOORLAND ROAD, NEW BERLIN, WI 531512
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Mental Health Program Directory By County, City, and Provider Name
1187CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/1983
(414) 292-4182
(414) [email protected] SCHUTZ
County: MilwaukeeMILWAUKEE, WI 53214620 S 76TH SREET #240
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021CHILDREN'S SERV SOC OF WI - WELL-BEING SUMMIT, 6737 W WASHINGTON ST, MILWAUKEE, WI
532141
01/01/2020 12/31/2021CHILDREN'S SERVICE SOCIETY OF WI, 620 S 76TH ST, STE 120, MILWAUKEE, WI 532142
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2020 12/31/2021ATWATER ELEMENTARY, 2100 E CAPITOL DR, MILWAUKEE, WI 53211
01/01/2020 12/31/2021AUER AVENUE SCHOOL, 2319 W AUER AVE, MILWAUKEE, WI 53206
01/01/2020 12/31/2021DR MARTIN LUTHER KING ELEMENTARY, 3275 N 3RD ST, MILWAUKEE, WI 53212
01/01/2020 12/31/2021GREATER HOLY TEMPLE CHRISTIAN ACADEMY, 5575 N 76TH ST, MILWAUKEE, WI 53218
01/01/2020 12/31/2021JAMES MADISON ACADEMIC CAMPUS, 8135 W FLORIST AVE, MILWAUKEE, WI 53218
01/01/2020 12/31/2021LAKE BLUFF ELEMENTARY, 1600 E LAKE BLUFF BLVD, MILWAUKEE, WI 53211
01/01/2020 12/31/2021MILWAUKEE SCHOOL OF LANGUAGES, 8400 W BURLEIGH ST, MILWAUKEE, WI 53208
01/01/2020 12/31/2021RIVERWEST ELEMENTARY SCHOOL, 2765 N FRATNEY ST, MILWAUKEE, WI 53212
01/01/2020 12/31/2021SHOREWOOD HIGH SCHOOL, 1701 E CAPITOL DR, MILWAUKEE, WI 53211
01/01/2020 12/31/2021SHOREWOOD INTERMEDIATE, 3830 N MORRIS BLVD, MILWAUKEE, WI 53211
1870COLUMBIA ST. MARY'S BEHAVIORAL MEDICINE - MILWAUKEE
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/201901/01/201806/01/1981
(414) 585-1924
(414) [email protected] PEERBOLT
County: MilwaukeeMILWAUKEE, WI 532112323 N LAKE DRIVE, 7TH FLOOR
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2018 12/31/2019
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 01/01/2018 12/31/2018
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2018 12/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2018 12/31/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 01/01/2018 12/31/2019
Services
NO BRANCH LOCATIONS
2373COMMUNITY RELATIONS SOCIAL DEVELOPMENT COMMISSION (SDC)
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202002/22/201904/29/2002
(414) 906-2719
(414) [email protected] SAMPTON
County: MilwaukeeMILWAUKEE, WI 532051730 W NORTH AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/22/2019 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/22/2019 04/30/2020
Services
NO BRANCH LOCATIONS
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1233COMPREHENSIVE CLINICAL & CONSULTING SERVICES INC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201901/01/1982
(414) 352-7625
(414) [email protected] SCHULHAUSER
County: MilwaukeeMILWAUKEE, WI 532177161 N PORT WASHINGTON RD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021CCCS AT ADVANCED PAIN MANAGEMENT, 1616 NORTH CASALOMA DR, APPLETON, WI 549131
09/01/2019 08/31/2021CCCS AT ADVANCED PAIN MANAGEMENT, 2595 DEVELOPMENT DRIVE, GREEN BAY, WI 543111
09/01/2019 08/31/2021CCCS AT ADVANCED PAIN MANAGEMENT, 9697 ST CATHERINE'S DRIVE STE 101, PLEASANT PRAIRIE, WI 53158
1
09/01/2019 08/31/2021COMPREHENSIVE CLINICAL & CONSULTING SVS, 4131 W LOOMIS RD SUITE 240, GREENFIELD, WI 53221
2
3236CREATIVE COUNSELING OF MILWAUKEE
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/24/201810/24/2018
(608) 305-2626
(414) [email protected] STONE
County: MilwaukeeMILWAUKEE, WI 532092266 N PROSPECT AVE #304
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/24/2018 09/30/2020
Services
NO BRANCH LOCATIONS
3153CROSSROADS COGNITIVE BEHAVIORAL SERVICES
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201910/01/2016
(414) 562-6361
(414) [email protected] MCCLENDON
County: MilwaukeeMILWAUKEE, WI 532052454 WEST LISBON AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2953EMPATHETIC COUNSELING SERVICES INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2011
(414) 875-2355
(414) [email protected] BROUGHTON LEWIS
County: MilwaukeeMILWAUKEE, WI 532166815 WEST CAPITOL DRIVE #311
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020EMPATHETIC COUNSELING SERVICES SOUTH, 610 WEST LINCOLN AVE SUITE 2C, MILWAUKEE, WI
532042
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Mental Health Program Directory By County, City, and Provider Name
2473FOKUS FAMILY SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/2014
(414) 264-4218
(414) [email protected] COLLINS
County: MilwaukeeMILWAUKEE, WI 532122821 N VEL R PHILLIPS AVE, #123
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
2785FORWARD CHOICES LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/14/2008
(414) 442-1775
(414) [email protected] WALLNER
County: MilwaukeeMILWAUKEE, WI 532106040 W LISBON AVENUE, #103
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2479GATEWAY TO CHANGE
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201810/29/2003
(414) 442-2167
(414) [email protected] HAMPTON
County: MilwaukeeMILWAUKEE, WI 532062319 W. CAPITOL DRIVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 12/01/2018 11/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
3040GERALD L IGNACE INDIAN HEALTH CENTER
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/01/2014
(414) 649-2719
(414) [email protected] BRAAKSMA
County: MilwaukeeMILWAUKEE, WI 53204930 W HISTORIC MITCHELL ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2803GRO FAMILY SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/28/2008
(414) 395-4716
(414) [email protected] OWENS
County: MilwaukeeMILWAUKEE, WI 532102436 NORTH 50TH STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
2101GUEST HOUSE COUNSELING CLINIC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201907/15/1992
(414) 345-3258
(414) [email protected] VAREKA
County: MilwaukeeMILWAUKEE, WI 532051216 N. 13TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
2174HORIZON HEALTHCARE INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201911/01/1999
(414) 762-9727
(414) [email protected] SANCHEZ
County: MilwaukeeMILWAUKEE, WI 532074650 S HOWELL AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021HORIZON HEALTHCARE INC, 1231 W HISTORIC MITCHELL ST, MILWAUKEE, WI 532042
12/12/2019 11/30/2021HORIZON HEALTHCARE INC, 2819 W HIGHLAND BLVD, MILWAUKEE, WI 532082
12/01/2019 11/30/2021HORIZON HEALTHCARE INC, 3410 80TH STREET, KENOSHA, WI 531422
12/01/2019 11/30/2021HORIZON HEALTHCARE INC, 5408 W BURLEIGH ST, MILWAUKEE, WI 532102
12/01/2019 11/30/2021HORIZON HEALTHCARE INC, 5626 NO 91ST ST STE 206, MILWAUKEE, WI 532252
12/01/2019 11/30/2021HORIZON HEALTHCARE INC, 835 WISCONSIN AVE, RACINE, WI 534032
3087INNER CITY BEHAVIORAL SERVICES, LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/2015
(414) 444-2732
(414) [email protected] TRIPP
County: MilwaukeeMILWAUKEE, WI 532083341 WEST NORTH AVENUE #101
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3261INTEGRATIVE PSYCHE LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/202001/01/2020
(414) 545-4454
(414) [email protected] KLEPP, PSY.D.
County: MilwaukeeMILWAUKEE, WI 5322710150 W NATIONAL AVE STE 390
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2020
Services
NO BRANCH LOCATIONS
1450JEWISH FAMILY SERVICES
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/01/1979
(414) 390-5808
(414) [email protected] DAVID
County: MilwaukeeMILWAUKEE, WI 532021300 N JACKSON STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2018 05/31/2020JEWISH FAMILY SVS - BRADLEY CROSSING, 4375 WEST BRADLEY ROAD, BROWN DEER, WI 532231
06/01/2018 05/31/2020SOJOURNER FAMILY PEACE CTR, 619 WEST WALNUT ST, MILWAUKEE, WI 532121
Setting Begin/End DatesNon-Certified School Setting(s)06/01/2018 05/31/2020JEWISH FAMILY SVS BROWN DEER ELEMENTARY, 5757 WEST DEAN ROAD, BROWN DEER, WI
5322306/01/2018 05/31/2020JEWISH FAMILY SVS CENTRAL CITY CYBERSCHOOL, 4301 NORTH 44TH ST, MILWAUKEE, WI 53216
06/01/2018 05/31/2020JEWISH FAMILY SVS-BROWN DEER MIDDLE/HIGH SCHOOL, 8060 NORTH 60TH STREET, MILWAUKEE, WI 53223
1876LAD LAKE - ST ROSE CENTER
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201807/05/1985
(414) 466-0730
(414) [email protected] LOWE
County: MilwaukeeMILWAUKEE, WI 532223801 N. 88TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020LAD LAKE, INC. DOUSMAN, W350 - S1401 WATERVILLE ROAD, DOUSMAN, WI 531181
3045LIFE CHANGING MINISTRIES INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/16/2014
(414) 755-0698
(414) [email protected] THOMPSON
County: MilwaukeeMILWAUKEE, WI 532051134 W NORTH AVE, 2ND FLOOR
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/07/2019 06/30/2020LIFE CHANGING MINISTRIES, 2365 S 13TH ST, MILWAUKEE, WI 532052
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1509LIGHTHOUSE CLINIC, LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/01/1990
(414) 964-4816
(414) [email protected] RENNER
County: MilwaukeeMILWAUKEE, WI 532112524 E WEBSTER PLACE #203
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2018 01/31/2020LIGHTHOUSE CLINIC, 11803 W NORTH AVENUE, #207, MILWAUKEE, WI 532261
3039LOCKETT ENTERPRISES, LLC BEHAVIORAL HEALTH SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201907/29/2014
(414) 223-3817
(414) [email protected] LOCKETT JR.
County: MilwaukeeMILWAUKEE, WI 532021845 NORTH FARWELL AVE SUITE 301
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
3223M & S CLINICAL SERVICES, INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/28/2018
(414) 263-2270
(414) [email protected] FOSSIE
County: MilwaukeeMILWAUKEE, WI 532122821 N VEL R PHILLIPS AVE, STE 210
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
3213MANNA BEHAVIORAL SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/2018
(414) 585-0115
(414) [email protected] L RICHARDSON
County: MilwaukeeMILWAUKEE, WI 532122821 N 4TH STREET #223
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3062MATTERS OF THE SPIRIT, LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201901/01/2015
(414) 488-2969
(414) [email protected] TINA SANFORD
County: MilwaukeeMILWAUKEE, WI 532166815 WEST CAPITOL DRIVE, SUITE 112
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
1580MCW DEPARTMENT OF PSYCHIATRY CLINICS AT TOSA
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201907/01/1996
(414) 955-6295
(414) [email protected] HUBERTY
County: MilwaukeeMILWAUKEE, WI 532261155 N MAYFAIR ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 02/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2225MD THERAPY
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201805/05/2000
(414) 466-3206
(414) [email protected] (MIKE) DALE
County: MilwaukeeMILWAUKEE, WI 532166815 W CAPITOL DRIVE, #208
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
2172META HOUSE, INC.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201911/24/1999
(414) 962-2305
(414) [email protected] JOYCE
County: MilwaukeeMILWAUKEE, WI 532122625 N WEIL STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 12/01/2019 11/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3187MHA - WI WELLNESS CLINIC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201811/15/2017
(414) 276-3124
(414) 276-3122sa'[email protected]'AIRE SALTON
County: MilwaukeeMILWAUKEE, WI 53204600 W VIRGINIA ST SUITE #502
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2019 11/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1933MILWAUKEE CENTER FOR INDEPENDANCE DBA WHOLE HEALTH CLINICAL GROUP
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201909/01/1985
(414) 615-0627
(414) [email protected] MCGUIRE
County: MilwaukeeMILWAUKEE, WI 53214932 S 60TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2019 05/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 06/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 06/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021CRISIS RESOURCE CENTER, 2057 S 14TH STREET, MILWAUKEE, WI 532041
06/01/2019 05/31/2021CRISIS RESOURCE CENTER, 5409 W VILLARD AVE, MILWAUKEE, WI 532181
06/01/2019 05/31/2021NEXDAY, 3333 SOUTH HOWELL AVE, MILWAUKEE, WI 532071
1632MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201908/01/1977
(414) 257-8119
(414) 257-7473jennifer.bergersen@milwaukeecounJENNIFER BERGERSEN
County: MilwaukeeMILWAUKEE, WI 532269455 WATERTOWN PLANK ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 11/01/2019 10/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
1634MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION CHILDREN'S MOBILE CRISIS TEAM
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/1996
(414) 257-8126
(414) 257-7385latoya.johnson@milwaukeecountywLATOYA JOHNSON
County: MilwaukeeMILWAUKEE, WI 532269455 WATERTOWN PLANK ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3037MILWAUKEE COUNTY COMPREHENSIVE COMMUNITY SERVICES PROGRAM
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/2014
(414) 545-4242
(414) 257-8085Jennifer.Wittwer@MilwaukeeCountyJENNIFER WITTWER
County: MilwaukeeMILWAUKEE, WI 532269455 WEST WATERTOWN PLANK ROAD
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021ALTERNATIVES IN PSYCHOLOGICAL CONSULTATION, 6737 W WASHINGTON ST #1325, WEST ALLIS,
WI 532142
09/01/2019 08/31/2021ALTERNATIVES IN PSYCHOLOGICAL CONSULTATION, SC, 10045 W LISBON AVENUE, MILWAUKEE, WI 53222
2
09/01/2019 08/31/2021BELL THERAPY, INC, 3090 N 53RD STREET, MILWAUKEE, WI 532102
09/01/2019 08/31/2021JEWISH FAMILY SERVICES, INC., 1300 N JACKSON ST, MILWAUKEE, WI 532022
09/01/2019 08/31/2021JUSTICE POINT, INC, 111 W PLEASANT ST STE #202, MILWAUKEE, WI 532122
09/01/2019 08/31/2021LA CAUSA, INC, 5235 N IRONWOOD RD, GLENDALE, WI 532172
09/01/2019 08/31/2021MCFI DBA WHOLE HEALTH GROUP, 932 SOUTH 60TH STREET, MILWAUKEE, WI 532142
09/01/2019 08/31/2021MILWAUKEE MENTAL HEALTH ASSOCIATES, INC, 3975 N 68TH STREET, MILWAUKEE, WI 532162
09/01/2019 08/31/2021OUTREACH COMMUNITY HEALTH CENTERS, INC, 711 W CAPITOL DRIVE, MILWAUKEE, WI 532062
09/01/2019 08/31/2021PATHFINDERS MILWAUKEE, INC, 4200 N HOLTON ST, MILWAUKEE, WI 532122
09/04/2019 08/31/2021PROFESSIONAL SERVICES GROUP INC, 1205 S 70TH ST, #301, WEST ALLIS, WI 532142
09/01/2019 08/31/2021PROJECT ACCESS, INC, 823 S 60TH ST, MILWAUKEE, WI 532142
09/01/2019 08/31/2021SAINT A, 8901 W CAPITOL DR, MILWAUKEE, WI 532222
09/01/2019 08/31/2021THE GUEST HOUSE OF MILWAUKEE, 1216 N 13TH STREET, MILWAUKEE, WI 532052
09/01/2019 08/31/2021WISCONSIN COMMUNITY SERVICES, 3732 W WISCONSIN AVE #330, MILWAUKEE, WI 532082
1642MILWAUKEE HEALTH SERVICES, INC. DBA BEHAVIORAL HEALTH SERVICES CENTER
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/1994
(414) 464-6472
(414) [email protected] MANN
County: MilwaukeeMILWAUKEE, WI 532188200 W SILVER SPRING DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 04/30/2021MARTIN LUTHER KING-HERITAGE HEALTH CENTER, 2555 N MARTIN LUTHER KING JR DRIVE,
MILWAUKEE, WI 532122
1645MILWAUKEE MENTAL HEALTH ASSOCIATES COMMUNITY SUPPORT PROGRAM
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201902/18/1997
(414) 873-4990
(414) [email protected] HARRIS
County: MilwaukeeMILWAUKEE, WI 532163975 N 68TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021MILWAUKEE MENTAL HEALTH ASSOCIATES, INC - NATIONAL, 3073 S CHASE AVE, SUITE 100,
MILWAUKEE, WI 532072
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Mental Health Program Directory By County, City, and Provider Name
2891MINDSTAR COUNSELING, LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2009
(414) 435-0543
(414) [email protected] PATTERSONBIDDLE
County: MilwaukeeMILWAUKEE, WI 532227900 W BURLEIGH STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 12/01/2018 11/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1794MWCCA BEHAVIORAL HEALTH CLINIC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201902/01/1988
(414) 270-3793
(414) [email protected] LOCKETT JR
County: MilwaukeeMILWAUKEE, WI 532164906 W FOND DU LAC AVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2930NEW CHOICES, LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/14/2010
(414) 444-8432
(414) [email protected] WILLIAMS
County: MilwaukeeMILWAUKEE, WI 532123565 N MARTIN LUTHER KING DR
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
2413OMNI ENRICHMENT, INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201902/01/2003
(414) 455-3292
(414) [email protected] TRIPP
County: MilwaukeeMILWAUKEE, WI 532083020 W. VLIET STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1777OUTREACH COMMUNITY HEALTH CENTER INC RECOVERY CSP
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/17/1996
(414) 374-7917
(414) [email protected] GABRIEL
County: MilwaukeeMILWAUKEE, WI 53206711 W CAPITOL DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2246OUTREACH COMMUNITY HEALTH CENTERS INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/01/2000
(414) 962-3861
(414) [email protected] SANDERS
County: MilwaukeeMILWAUKEE, WI 53212210 W CAPITOL DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021OUTREACH COMMUMITY HEALTH CENTERS, 9120 W HAMPTON AVE, MILWAUKEE, WI 532252
08/01/2019 07/31/2021OUTREACH COMMUNITY HEALTH CENTER, 711 W CAPITOL DRIVE, MILWAUKEE, WI 532062
2990PARADIGM ENRICHMENT SERVICES, INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/25/2013
(414) 393-1155
(414) [email protected] JACKSON II
County: MilwaukeeMILWAUKEE, WI 532164222 W CAPITOL DR, 1ST FLOOR
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
1910PATHFINDERS MILWAUKEE, INC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201804/01/2011
(414) 964-0102
(414) [email protected] STAUDACHER
County: MilwaukeeMILWAUKEE, WI 532124200 N HOLTON STREET, #400
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
2923PENFIELD CHILDREN'S CENTER
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/2010
(414) 344-7739
(414) [email protected] ROTOLO
County: MilwaukeeMILWAUKEE, WI 53233833 N 26TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2796POSITIVE OUTLOOK CLINICAL SERVICES LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/2008
(414) 355-5467
(414) [email protected] HANSEN
County: MilwaukeeMILWAUKEE, WI 532166815 W CAPITOL DR, SUITE 304
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2018 07/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
1751PROJECT ACCESS, INC. CSP
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201912/20/1995
(414) 456-1655
(414) [email protected] ROGER ZHONG
County: MilwaukeeMILWAUKEE, WI 53214823 S 60TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
1445PSYCARE-MILWAUKEE LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/04/2007
(414) 271-2335
(414) [email protected] A GARLAND
County: MilwaukeeMILWAUKEE, WI 53203633 W. WISCONSIN AVENUE, #1810
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
2118RAVENSWOOD CLINIC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201906/23/1999
(414) 224-8112
(414) [email protected] F. WERTH, JR.
County: MilwaukeeMILWAUKEE, WI 532022266 N. PROSPECT AVENUE, #326
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
1792RENEW COUNSELING SERVICES
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201904/01/1985
(414) 727-8730
(414) [email protected] CROATT
County: MilwaukeeMILWAUKEE, WI 532041225 W. MITCHELL STREET, #223
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3205SAINT A
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/04/2018
(414) 463-2770
(414) [email protected] PAHLAVAN
County: MilwaukeeMILWAUKEE, WI 532228901 W CAPITOL DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/12/2019 05/31/2021ARROWHEAD HIGH SCHOOL, 700 NORTH AVE, HARTLAND, WI 530293
12/18/2019 05/31/2021BLAKEWOOD ELEMENTARY SCHOOL, 3501 BLAKEWOOD AVE, SOUTH MILWAUKEE, WI 531723
12/12/2019 05/31/2021CARMEN NORTHWEST CAMPUS, 5496 NORTH 72ND ST, MILWAUKEE, WI 532183
12/18/2019 05/31/2021E W LUTHER ELEMETARY, 718 HAWTHORNE AVE, SOUTH MILWAUKEE, WI 531723
06/01/2019 05/31/2021FRANK LLOYD WRIGHT INT, 9501 W CLEVELAND AVE, WEST ALLIS, WI 532273
06/01/2019 05/31/2021FRANKLIN ELEMENTARY, 2060 86TH ST, WEST ALLIS, WI 532273
06/01/2019 05/31/2021HOOVER ELEMENTARY, 12705 W EUCLID AVE, NEW BERLIN, WI 531513
06/01/2019 05/31/2021HORACE MANN ELEMENTARY, 6213 W LAPHAM ST, WEST ALLIS, WI 532143
06/01/2019 05/31/2021HORIZON ELEMENTARY SCHOOL, 458 LAKE ST, PEWAUKEE, WI 530723
12/18/2019 05/31/2021LAKEVIEW ELEMENTARY, 711 MARION AVE, SOUTH MILWAUKEE, WI 531723
06/01/2019 05/31/2021LONGFELLOW ELEMENTARY, 2211 S 60TH ST, WEST ALLIS, WI 532193
12/18/2019 05/31/2021LONGFELLOW MIDDLE SCHOOL, 7600 W NORTH AVE, MILWAUKEE, WI 532133
06/01/2019 05/31/2021PEWAUKEE HIGH SCHOOL, 510 LAKE ST, PEWAUKEE, WI 530723
06/01/2019 05/31/2021PEWAUKEE LAKE ELEMENTARY, 436 LAKE ST, PEWAUKEE, WI 530723
12/18/2019 05/31/2021RAWSON ELEMENTARY, 1410 RAWSON AVE, SOUTH MILWAUKEE, WI 531723
12/12/2019 05/31/2021RIVERSIDE ELEMENTARY, W153N8681 MARGARET RD, MENOMONEE FALLS, WI 530513
12/18/2019 05/31/2021SEEDS OF HEALTH ELEMENTARY, 1445 S 32ND ST, MILWAUKEE, WI 532153
12/12/2019 05/31/2021SOUTH MILWAUKEE HIGH SCHOOL, 801 15TH AVE, SOUTH MILWAUKEE, WI 531723
12/12/2019 05/31/2021SOUTH MILWAUKEE MIDDLE, 1001 15TH AVE, SOUTH MILWAUKEE, WI 531723
12/12/2019 05/31/2021VALLEY VIEW ELEMENTARY, W180 N8130 TOWN HALL RD, MENOMONEE FALLS, WI 530513
06/01/2019 05/31/2021WEST MILWAUKEE INT, 5104 GREENFIELD AVE, WEST ALLIS, WI 532143
06/01/2019 05/31/2021WILSON ELEMENTARY, 8710 W ORCHARD ST, WEST ALLIS, WI 532143
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Mental Health Program Directory By County, City, and Provider Name
2495SEBASTIAN FAMILY PSYCHOLOGY PRACTICE LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/14/2004
(414) 247-0816
(414) [email protected] SSEMPIJJA
County: MilwaukeeMILWAUKEE, WI 532091720 W FLORIST AVENUE #125
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020SEBASTIAN FAMILY PSYCHOLOGY, 2745 W LAYTON AVE, STE 203, MILWAUKEE, WI 532211
01/01/2019 12/31/2020AUDUBON TECHNOLOGY & COMMUNICATION CENTER, 3300 S 39TH ST, MILWAUKEE, WI 532153
01/01/2019 12/31/2020BENJAMIN FRANKLIN SCHOOL, 2308 W NASH ST, MILWAUKEE, WI 532063
01/01/2019 12/31/2020BETHUNE ACADEMY, 1535 N 35TH ST, MILWAUKEE, WI 532083
01/01/2019 12/31/2020HENRY DAVID THOREAU, 7878 N 60TH ST, MILWAUKEE, WI 532233
01/01/2019 12/31/2020KEEFE AVENUE ELEMENTARY SCHOOL, 1618 W KEEFE AVE, MILWAUKEE, WI 532063
01/01/2019 12/31/2020MILW COLLEGE PREP LLOYD ST, 1228 W LLOYD ST, MILWAUKEE, WI 532053
01/01/2019 12/31/2020OLIVER WENDALL HOLMES SCHOOL, 2463 N BUFFUM ST, MILWAUKEE, WI 532123
01/01/2019 12/31/2020SHERMAN MULTICULTURAL ARTS SCHOOL, 5110 W LOCUST ST, MILWAUKEE, WI 532103
01/01/2019 12/31/2020ST CATHERINE SCHOOL, 2647 N 51ST ST, MILWAUKEE, WI 532103
1011SIXTEENTH STREET BEHAVIORAL HEALTH CENTER
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/15/1997
(414) 383-5597
(414) [email protected] PEREZ
County: MilwaukeeMILWAUKEE, WI 532041032 S CESAR E CHAVEZ DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020PARKWAY CLINIC, 2906 S 20TH STREET, MILWAUKEE, WI 532151
11/01/2018 10/31/2020WAUKESHA COMMUNITY HEALTH CENTER, 309 E. NORTH STREET, WAUKESHA, WI 531881
3199SIXTEENTH STREET COMMUNITY HEALTH CENTERS - LAYTON
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2018
(414) 383-5597
(414) [email protected] ELENA PEREZ, PHD
County: MilwaukeeMILWAUKEE, WI 532214570 S 27TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3201SMILE INC MENTAL HEALTH AND AODA OUTPATIENT CLINIC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/02/2018
(414) 249-3312
(414) [email protected] VEASEY
County: MilwaukeeMILWAUKEE, WI 532164222 W CAPITOL DR #308
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 04/01/2019 03/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
1322ST. CHARLES YOUTH & FAMILY SERVICES - FAMILY DEVELOPMENT CENTER
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201901/01/1991
(414) 219-9040
(414) [email protected] UNDERWOOD
County: MilwaukeeMILWAUKEE, WI 532184757 N. 76TH STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 09/05/2019 01/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2019 01/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021ST CHARLES - FAMILY DEVELOPMENT CENTER, 151 S 84TH STREET, MILWAUKEE, WI 532141
2690ST. LUKE'S MEDICAL CENTER OUTPATIENT BEHAVIORAL HEALTH CLINIC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201908/30/2006
(414) 454-6450
(414) [email protected] SLOMSKI
County: MilwaukeeMILWAUKEE, WI 532152900 W OKLAHOMA AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
2921THE BRIDGE HEALTH CLINICS & RESEARCH CENTERS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/19/2010
(414) 255-3451
(414) 831-4500toddcampbell@thebridgehealthclinicTODD CAMPBELL
County: MilwaukeeMILWAUKEE, WI 532185401 N 76TH STREET #100
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021THE BRIDGE HEALTH CLINICS & RC, 9401 W BELOIT RD, #105, MILWAUKEE, WI 532272
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Mental Health Program Directory By County, City, and Provider Name
2634THE HUMAN DEVELOPMENT CENTER, INC.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/25/2006
(414) 449-9912
(414) [email protected] PELDO
County: MilwaukeeMILWAUKEE, WI 532186833 WEST FOND DU LAC AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
2944THE POWER OF CHANGE INC BEHAVIORAL SERVICES
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201907/01/2011
(414) 374-8181
(414) [email protected] ARMON-BENT
County: MilwaukeeMILWAUKEE, WI 532122821 N VEL R PHILLIPS AVE STE #131
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
1657UNITED COMMUNITY CENTER
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201805/01/1980
(414) 647-8602
(414) [email protected] A. RUIZ
County: MilwaukeeMILWAUKEE, WI 532041100 S 6TH STREET, 3RD FLOOR
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 10/01/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
2004WILLOWGLEN ACADEMY OUTPATIENT CLINIC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/1992
(414) 527-6971
(414) [email protected] KUMMROW
County: MilwaukeeMILWAUKEE, WI 532164065 NORTH 35TH STREET STE # N100
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020WILLOWGLEN ACADEMY - DAY ONE EAST, 6414 W. FOND DU LAC AVE, MILWAUKEE, WI 532181
08/01/2018 07/31/2020WILLOWGLEN ACADEMY - CSP NORTH, 4941 W FOND DU LAC AVE, MILWAUKEE, WI 532162
08/01/2018 07/31/2020WILLOWGLEN ACADEMY, 5555 NORTH 51ST BLVD, MILWAUKEE, WI 532182
08/01/2018 07/31/2020WILLOWGLEN ACADEMY - ARROWHEAD UNION HS, 700 NORTH AVE, HARTLAND, WI 530293
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Mental Health Program Directory By County, City, and Provider Name
1995WISCONSIN COMMUNITY SERVICES OUTPATIENT MENTAL HEALTH PROGRAM
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201906/01/1977
(414) 344-2191
(414) [email protected] DUBLINSKI
County: MilwaukeeMILWAUKEE, WI 532083734 W WISCONSIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
1955WISCONSIN COMMUNITY SERVICES UNLIMITED POTENTIAL
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201806/01/1986
(414) 226-0351
(414) [email protected] CARROLL
County: MilwaukeeMILWAUKEE, WI 532083732 W WISCONSIN AVE STE 200
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
1993WISCONSIN COMMUNITY SERVICES-COMMUNITY SUPPORT PROGRAM
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/01/1995
(414) 334-2191
(414) [email protected] COLLYARD
County: MilwaukeeMILWAUKEE, WI 532083734 W WISCONSIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
3149WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC DBA CHRISTIAN FAMILY SOLUTIONS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202001/01/201911/08/2016
(262) 345-5531
(262) [email protected] SEMMANN
County: MilwaukeeMILWAUKEE, WI 532122669 NORTH RICHARDS STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 01/01/2019 10/31/2020
Services
NO BRANCH LOCATIONS
SHOREWOOD
2951BEHRENS PSYCHOTHERAPY SERVICES, LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2011
(262) 229-4744
(262) [email protected] BEHRENS
County: MilwaukeeSHOREWOOD, WI 532112321 E CAPITOL DRIVE, #400
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WAUWATOSA
3158ABG WELLNESS GROUP INC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2016
(414) 973-2090
(414) [email protected] LIPSKI
County: MilwaukeeWAUWATOSA, WI 532137332 W STATE ST, SUITE 6
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021PARK PLACE OFFICE, 11414 W PARK PLACE STE 202, MILWAUKEE, WI 532241
1033ALTERNATIVES IN PSYCHOLOGICAL CONSULTATION, S.C.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201911/20/1997
(414) 358-7158
(414) [email protected] DREXLER
County: MilwaukeeWAUWATOSA, WI 5322210045 W LISBON AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021ALTERNATIVES IN PSYCH CONSULT, 6737 W WASHINGTON ST SUITE 1300, WEST ALLIS, WI 532142
2518AURORA BEHAVIORAL HEALTH CENTER WAUWATOSA
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/31/2004
(414) 454-6450
(414) [email protected] BAHR
County: MilwaukeeWAUWATOSA, WI 532131220 DEWEY AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
1647AURORA PSYCHIATRIC HOSPITAL INC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201809/01/1979
(414) 454-6450
(414) [email protected] SURFUS-LEWISTON
County: MilwaukeeWAUWATOSA, WI 532131220 DEWEY AVENUE BLDG 4
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 08/01/2018 07/31/2020
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 08/01/2018 07/31/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 08/01/2018 07/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3140AURORA PSYCHIATRIC HOSPITAL INC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/01/2016
(414) 454-6662
(414) [email protected] SURFUS-LEWISTON
County: MilwaukeeWAUWATOSA, WI 532131220 DEWEY AVENUE BLDG 7
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT DHS 61.75 08/01/2019 07/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 3 DHS 40.11(2)(C) 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
2199CHILDYNAMICS, LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/15/2000
(414) 258-4328
(414) [email protected] ISABELLA SARDAS
County: MilwaukeeWAUWATOSA, WI 5322611904 W. NORTH AVENUE, #110
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1516LUTHERAN COUNSELING AND FAMILY SERVICES OF WISCONSIN
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/01/1978
(414) 536-8348
(414) [email protected] L RAYBURN
County: MilwaukeeWAUWATOSA, WI 532223800 N MAYFAIR ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 15 E SAWYER, RICE LAKE, WI 548681
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 168 MOUND STREET, BERLIN, WI 549231
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 210 S ONEIDA ST, GREEN BAY, WI 543031
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 2833 RARITAN, FITCHBURG, WI 537111
04/25/2019 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 2940 MINERAL POINT AVE, JANESVILLE, WI 53548
1
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 300 BROADWAY DR, SUN PRAIRIE, WI 535901
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 324 S ANDREWS ST, SHAWANO, WI 541661
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 345 NORTH PINE ST, REEDSBURG, WI 539591
02/11/2019 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 400 N SAWYER ST, OSHKOSH, WI 549021
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 4850 S LAKE DRIVE, CUDAHY, WI 531101
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 717 MEMORIAL DRIVE, CHILTON, WI 530141
04/01/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, 850 ARMSTRONG ST, PORTAGE, WI 539011
09/05/2018 03/31/2020LUTHERAN COUNSELING & FAMILY SERVICES OF WI, E1887 KING ROAD, WAUPACA, WI 549811
Setting Begin/End DatesNon-Certified School Setting(s)02/05/2019 03/31/2020ATONEMENT LUTHERAN SCHOOL, 4224 W RUBY AVE, MILWAUKEE, WI 53209
04/01/2018 03/31/2020BEAUTIFUL SAVIOR LUTHERAN SCHOOL, 1205 EAST AVE, WAUKESHA, WI 53186
02/05/2019 03/31/2020BROWN DEER ELEMENTARY SCHOOL, 5757 W DEAN RD, BROWN DEER, WI 53223
02/05/2019 03/31/2020BROWN DEER MIDDLE/HIGH SCHOOL, 8200 N 60TH ST, BROWN DEER, WI 53223
02/05/2019 03/31/2020CONCORDIA LUTHERAN SCHOOL, 8500 DURAND AVE, STURTEVANT, WI 53177
04/01/2018 03/31/2020GRACE LUTHERAN SCHOOL, N87W16173 KENWOOD BLVD, MENOMONEE FALLS, WI 53051
02/05/2019 03/31/2020GRANVILLE LUTHERAN SCHOOL (LUMIN), 8242 N GRANVILLE DR, MILWAUKEE, WI 53224
02/05/2019 03/31/2020MT CALVARY LUTHERAN SCHOOL, 2850 N 53RD ST, MILWAUKEE, WI 53210
02/07/2019 03/31/2020NORTHWEST LUTHERAN SCHOOL, 4119 N 81ST ST, MILWAUKEE, WI 53222
04/01/2018 03/31/2020OUR REDEEMER LUTHERAN SCHOOL, 10025 W NORTH AVE, WAUWATOSA, WI 53226
02/05/2019 03/31/2020PILGRIM LUTHERAN SCHOOL (LUMIN), 6717 W CENTER ST, WAUWATOSA, WI 53210
04/01/2018 03/31/2020RENAISSANCE LUTHERAN SCHOOL - TAYLOR (LUMIN), 6150 TAYLOR AVE, RACINE, WI 53403
04/01/2018 03/31/2020RENAISSANCE LUTHERAN SCHOOL - VILLA, 1510 VILLA ST, RACINE, WI 53403
3101RISE YOUTH & FAMILY SERVICES, LLC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/20/2015
(414) 433-1919
(414) [email protected] NEWMAN
County: MilwaukeeWAUWATOSA, WI 532268500 W NORTH AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3175SAQH
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202008/01/201909/25/2017
(414) 434-4248
(414) 299-3872syed.hussaini@saqhbehavioralhealtSYED HUSSAINI
County: MilwaukeeWAUWATOSA, WI 532262222 N MAYFAIR ROAD #200
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/28/2019 08/31/2020SAQH SOUTH, 8825 HOWELL AVE #201, OAK CREEK, WI 531542
08/01/2019 08/31/2020SAQH WEST, 13000 W BLUEMOUND RD, #201, ELM GROVE, WI 531222
2805THE REDI CLINIC OF WAUWATOSA, SC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/09/2008
(414) 727-4690
(414) [email protected] DRAJKOWSKI
County: MilwaukeeWAUWATOSA, WI 532262500 NORTH MAYFAIR ROAD #600
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
MENTAL HEALTH-DAY TREATMENT DHS 61.75 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
2318WEST GROVE CLINIC
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/22/2001
(414) 810-4845
(414) [email protected] WEST
County: MilwaukeeWAUWATOSA, WI 5322210012 WEST CAPITOL DRIVE #101
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/08/2019 06/30/2020WEST GROVE CLINIC - KENOSHA, 1400 75TH ST, KENOSHA, WI 531431
07/01/2019 06/30/2020WEST GROVE CLINIC - OAK CREEK, 6419 S HOWELL AVE, OAK CREEK, WI 531541
07/01/2019 06/30/2020WEST GROVE CLINIC, 7310 W WELLS ST, WAUWATOSA, WI 532131
WEST ALLIS
2397AURORA BEHAVIORAL HEALTH CENTER - WEST ALLIS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201907/12/2002
(414) 454-6450
(414) [email protected] CHRISTMAN
County: MilwaukeeWEST ALLIS, WI 532272424 S 90TH STREET SUITE 502
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3026MAPLEGROVE TREATMENT CENTER
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202001/01/201904/08/2014
() -
(414) [email protected] TAKAMURA
County: MilwaukeeWEST ALLIS, WI 532141455 S 97TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 10/31/2020
Services
NO BRANCH LOCATIONS
2125MILWAUKEE CENTER FOR INDEPENDENCE DBA WHOLE HEALTH CLINICAL GROUP
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201909/01/1985
(414) 615-0627
(414) [email protected] LEAHY
County: MilwaukeeWEST ALLIS, WI 53214932 SOUTH 60TH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
3206MIRACLE COUNSELING AND LIFE COACHING LLC
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/05/201906/03/2018
(414) 979-6449
(414) [email protected] CABRERA
County: MilwaukeeWEST ALLIS, WI 532278440 W NATIONAL AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/05/2019 05/31/2021
Services
NO BRANCH LOCATIONS
3239ROGERS BEHAVIORAL HEALTH - LINCOLN CENTER II
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201908/21/2018
(262) 303-2007
(414) [email protected] SCHULTZ
County: MilwaukeeWEST ALLIS, WI 532272400 S 102ND ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH-DAY TREATMENT DHS 61.75 09/01/2019 08/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 138 of 224
Mental Health Program Directory By County, City, and Provider Name
3032ROGERS MEMORIAL HOSPITAL
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2014
(920) 843-5685
(414) [email protected] SCHULTZ
County: MilwaukeeWEST ALLIS, WI 532272448 SOUTH 102ND ST RM #200
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 05/01/2019 04/30/2021
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 05/01/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 05/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 05/01/2019 04/30/2021
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 05/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2214ROGERS MEMORIAL HOSPITAL - MILWAUKEE
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2000
(414) 203-4577
(414) [email protected] SCHULTZ
County: MilwaukeeWEST ALLIS, WI 5322711101 W. LINCOLN AVENUE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 05/01/2018 04/30/2020
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 08/17/2018
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2018 08/17/2018
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 05/01/2018 04/30/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 05/01/2018 08/17/2018
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 W/TELEHEALTH DHS 40.11(2)(B)
05/01/2018 08/17/2018
MENTAL HEALTH-INPATIENT DHS 61.71 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
3204STRESS MANAGEMENT & MENTAL HEALTH CLINICS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/2018
(414) 329-7010
(414) [email protected] BUSHMAN
County: MilwaukeeWEST ALLIS, WI 5322710201 W LINCOLN AVE #308
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 139 of 224
Mental Health Program Directory By County, City, and Provider Name
MONROECASHTON
2804SCENIC BLUFFS COMMUNITY HEALTH CENTERS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/28/2008
(608) 654-5120
(608) [email protected] TURNER
County: MonroeCASHTON, WI 54619238 FRONT STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020SCENIC BLUFFS COMMUNITY HEALTH CENTERS, 200 W. NORTH STREET, NORWALK, WI 546481
07/01/2018 06/30/2020SCENIC BLUFFS COMMUNITY HEALTH CENTERS, 217 N BLACK RIVER ST, RM 4, SPARTA, WI 546561
01/29/2020 06/30/2020SCENIC BLUFFS HLTH CTR INC, 916 FERRY ST, LA CROSSE, WI 546011
Setting Begin/End DatesNon-Certified School Setting(s)08/05/2019 06/30/2020ARCADIA ELEMENTARY SCHOOL, 358 RIVER ST, ARCADIA, WI 54612
08/05/2019 06/30/2020ARCADIA HIGH SCHOOL, 756 RAIDER DR, ARCADIA, WI 54612
08/05/2019 06/30/2020ARCADIA MIDDLE SCHOOL, 725 FAIRFIELD ST, ARCADIA, WI 54612
07/01/2018 06/30/2020CASHTON ELEMENTARY SCHOOL, 436 FRONT STREET, CASHTON, WI 54619
07/01/2018 06/30/2020CASHTON MIDDLE/HIGH SCHOOL, 540 COE STREET, CASHTON, WI 54619
07/01/2018 06/30/2020HIGH POINT CHARTER SCHOOL, 201 E FRANKLIN STREET, SPARTA, WI 54656
08/05/2019 06/30/2020KICKAPOO HIGH SCHOOL, S6250 STATE HWY 131, VIOLA, WI 54664
08/05/2019 06/30/2020LA FARGE HIGH SCHOOL, 301 W ADAMS ST, LA FARGE, WI 54639
07/01/2018 06/30/2020S.A.I.L..S. CHARTER SCHOOL, 201 E FRANKLIN STREET, SPARTA, WI 54656
07/01/2018 06/30/2020VIROQUA MIDDLE & HIGH SCHOOL, 100 BLACKHAWK DR, VIROQUA, WI 54665
07/01/2018 06/30/2020WESTBY ELEMENTARY, 122 NELSON ST, WESTBY, WI 54667
SPARTA
3277MONROE COUNTY COMMUNITY SUPPORT PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/02/202001/02/2020
(608) 269-8935
(608) [email protected] HILLESHIEM
County: MonroeSPARTA, WI 54656112 SOUTH COURT ST RM 3000
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 01/02/2020 12/31/2020
Services
NO BRANCH LOCATIONS
1654MONROE COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201910/01/1975
(608) 269-8935
(608) [email protected] HILLESHIEM
County: MonroeSPARTA, WI 54656112 S COURT ST RM 3000
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 01/01/2019 12/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
OCONTOOCONTO
2759BELLIN PSYCHIATRIC CENTER OCONTO HOSPITAL & MEDICAL CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/23/2007
(920) 431-0333
(920) [email protected] COUNARD
County: OcontoOCONTO, WI 54153820 ARBUTUS AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020BELLIN PSYCHIATRIC CENTER-MARINETTE, 2820 ROOSEVELT ROAD, MARINETTE, WI 541432
11/01/2018 10/31/2020GARFIELD ELEMENTARY, 1615 CARNEY BOULEVARD, MARINETTE, WI 541433
11/01/2018 10/31/2020MARINETTE HIGH SCHOOL, 2135 PIERCE AVENUE, MARINETTE, WI 541433
11/01/2018 10/31/2020MARINETTE MIDDLE SCHOOL, 1011 WATER STREET, MARINETTE, WI 541433
11/01/2018 10/31/2020MENEKAUNEE SURISE EARLY LEARNING CENTER, 115 HANCOCK STREET, MARINETTE, WI 541433
11/01/2018 10/31/2020MERRYMAN ELEMENTARY, 611 ELIZABETH AVENUE, MARINETTE, WI 541433
11/01/2018 10/31/2020OCONTO FALLS - WASHINGTON MIDDLE SCHOOL, 102 S WASHINGTON STREET, OCONTO FALLS, WI 54154
3
03/11/2019 10/31/2020OCONTO FALLS ELEMENTARY SCHOOL, 415 MARIE VOLK DR, OCONTO FALLS, WI 541543
11/01/2018 10/31/2020OCONTO FALLS HIGH SCHOOL, 210 N FARM ROAD, OCONTO FALLS, WI 541543
11/01/2018 10/31/2020OUR SAVIOUR'S LUTHERAN CHURCH, 1600 UNIVERSITY DRIVE, MARINETTE, WI 541433
11/01/2018 10/31/2020PARK ELEMENTARY, 1225 HOCKRIDGE STREET, MARINETTE, WI 541433
1719OCONTO COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201804/01/1979
(920) 834-6889
(920) [email protected] HANKE
County: OcontoOCONTO, WI 54153501 PARK AVENUE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 09/01/2018 08/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
CSAS-PREVENTION DHS 75.04 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020NEW VIEW INDUSTRIES, 164 W PARK STREET, GILLETT, WI 541241
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Mental Health Program Directory By County, City, and Provider Name
ONEIDAMINOCQUA
2316LIMBERG & ASSOCIATES, COUNSELING FOR CHANGE
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/01/2000
(715) 358-9556
(715) [email protected] LIMBERG
County: OneidaMINOCQUA, WI 545488618 HIGHWAY 51 NORTH
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020LIMBERG & ASSOCIATES, COUNSELING FOR CHANGE, 1185 S 4TH AVE, PARK FALLS, WI 545521
RHINELANDER
2515ASCENSION ST MARY'S INPATIENT BEHAVIORAL HEALTH DEPARTMENT
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2004
(715) 361-2021
(715) [email protected] STEFONEK
County: OneidaRHINELANDER, WI 545012251 N SHORE DR #100
Service Begin/End DatesAdm Code
MENTAL HEALTH-INPATIENT DHS 61.71 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
1762ASCENSION ST MARY'S KOLLER BEHAVIORAL HEALTH
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/01/1985
(715) 361-2920
(715) [email protected] SCHIEK
County: OneidaRHINELANDER, WI 545011020 KABEL AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2018 05/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 06/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 06/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2018 05/31/2020ST MARYS HOSP MINISTRY/KOLLER CRANDON, 400 W GLEN STREET, CRANDON, WI 545201
06/01/2018 05/31/2020ST MARYS HOSP MINISTRY/KOLLER TOMAHAWK, 401 MOHAWK AVE, TOMAHAWK, WI 544871
06/01/2018 05/31/2020ST MARYS HOSP MINISTRY/KOLLER EAGLE RIVER, 930 E WALL STREET, EAGLE RIVER, WI 545212
06/01/2018 05/31/2020ST MARYS HOSP MINISTRY/KOLLER WOODRUFF, 240 MAPLE STREET, WOODRUFF, WI 545682
2977CORNERSTONE PSYCHOLOGICAL ASSOCIATES LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/14/2012
(715) 420-1202
(715) [email protected] F. MCGUIRE LPC
County: OneidaRHINELANDER, WI 54501315 S ONEIDA AVE SUITE 101
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3196HARMONY COUNSELING SERVICES LLC DBA TRANSITIONS CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/24/2018
(715) 365-6768
(715) [email protected] WEGE
County: OneidaRHINELANDER, WI 5450122 N PELHAM ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020NICOLET COLLEGE, 5364 COLLEGE DRIVE, RHINELANDER, WI 545011
01/01/2019 12/31/2020PHELPS, 4451 OLD SCHOOL RD, PHELPS, WI 545543
3188NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - RHINELANDER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/04/2017
(888) 226-8713
(715) [email protected] MAURER
County: OneidaRHINELANDER, WI 54501915 ACACIA LN
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
2742OPTIONS COUNSELING SERVICES LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202011/16/201904/17/2007
(715) 369-7301
(715) [email protected] DECORAH
County: OneidaRHINELANDER, WI 545011991 WINNEBAGO STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/16/2019 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/16/2019 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/16/2019 03/31/2020CENTRAL ELEMENTARY, 418 NORTH PELHAM STREET, RHINELANDER, WI 545013
11/16/2019 03/31/2020CRESCENT ELEMENTARY, 3319 BOYCE DRIVE, RHINELANDER, WI 545013
11/16/2019 03/31/2020HODAG CONNECTION LEARNING CENTER, 51B NORTH BROWN ST, RHINELANDER, WI 545013
11/16/2019 03/31/2020JAMES WILLIAMS MIDDLE SCHOOL, 915 ACACIA LANE, RHINELANDER, WI 545013
11/16/2019 03/31/2020NORTHWOODS COMM. SECONDARY CHARTER SCHOOL, 665 COOLIDGE AVENUE, RHINELANDER, WI 54501
3
11/16/2019 03/31/2020NORTHWOODS COMMUNITY ELEMENTARY CHARTER SCHOOL, 9086 COUNTY HWY K, HARSHAW, WI 54529
3
11/16/2019 03/31/2020PELICAN ELEMENTARY, 3350 V HICKEY ROAD, RHINELANDER, WI 545013
11/16/2019 03/31/2020RHINELANDER HIGH SCHOOL, 665 COOLIDGE, RHINELANDER, WI 545013
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Mental Health Program Directory By County, City, and Provider Name
1427THE HUMAN SERVICE CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201809/01/1980
(715) 369-2214
(715) [email protected] SHIMECK
County: OneidaRHINELANDER, WI 54501705 EAST TIMBER DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 10/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 10/01/2018 09/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 10/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
3043THE HUMAN SERVICE CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/27/2014
(715) 369-2214
(715) [email protected] SHIMECK
County: OneidaRHINELANDER, WI 54501705 EAST TIMBER DRIVE
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL UNIFIED BOARD DHS 36 07/01/2018 06/30/2020
CCS REGIONAL MODEL UNIFIED BOARD W/TELEHEALTH DHS 36 07/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
1426THE HUMAN SERVICE CENTER CSP
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201909/01/1980
(715) 369-2214
(715) [email protected] SHIMECK
County: OneidaRHINELANDER, WI 54501705 E. TIMBER DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 06/01/2019 05/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 06/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
OUTAGAMIEAPPLETON
2651ASCENSION MEDICAL GROUP BEHAVIORAL HEALTH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201901/20/2005
(920) 730-4924
(920) [email protected] MCKENZIE
County: OutagamieAPPLETON, WI 549151531 S MADISON ST #580
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021ACSENSION MED GRP BEH HLTH INTERNAL MED, 1501 S MADISON ST, APPLETON, WI 549152
11/01/2019 10/31/2021ACSENSION MED GRP BEH HLTH KOELLER ST, 1855 S KOELLER, OSHKOSH, WI 549022
11/01/2019 10/31/2021ACSENSION MED GRP BEH HLTH RICHMOND ST, 3329 N RICHMOND ST, APPLETON, WI 549112
11/01/2019 10/31/2021ASCENSION MED GRP BEH HLTH NEENAH, 101 MAIN STREET, NEENAH, WI 549562
1860ASCENSION NE WISCONSIN - ST ELIZABETH CAMPUS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201902/01/1984
(920) 730-5480
(920) [email protected] REICH
County: OutagamieAPPLETON, WI 549151506 S ONEIDA STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 11/01/2019 10/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2019 10/31/2021
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 11/01/2019 10/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 11/01/2019 10/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2984CATALPA HEALTH INC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2012
(920) 882-5495
(920) [email protected] RADTKE
County: OutagamieAPPLETON, WI 54914444 NORTH WESTHILL BLVD
Service Begin/End DatesAdm Code
CSAS-PREVENTION DHS 75.04 11/01/2019 10/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021BOYS AND GIRLS CLUB OF OSHKOSH, 501 E PARKWAY AVENUE, OSHKOSH, WI 549011
11/01/2019 10/31/2021CATALPA HEALTH - CASALOMA CAMPUS, 1920 N CASALOMA ST, APPLETON, WI 549132
11/01/2019 10/31/2021CATALPA HEALTH - WAUPACA, 815 WEST FULTON ST, WAUPACA, WI 549812
11/01/2019 10/31/2021CATALPA HEALTH ACCESS CENTER, 442 WESTHILL BLVD., APPLETON, WI 549142
11/01/2019 10/31/2021CATALPA HEALTH, 540 N KOELLER ST, OSHKOSH, WI 549022
11/01/2019 10/31/2021THEDACARE PHYSICIANS PEDIATRICS, 640 DEERWOOD AVENUE, NEENAH, WI 549562
11/01/2019 10/31/2021BLACK CREEK ELEMENTARY & MIDDLE SCHOOLS, 308 EAST BURDICK ST, BLACK CREEK, WI 541063
11/01/2019 10/31/2021BUTTE DES MORTS ELEMENTARY, 501 TAYCO ST, MENASHA, WI 549523
11/01/2019 10/31/2021CARL TRAGER MIDDLE SCHOOL, 3000 W 20TH AVE, OSHKOSH, WI 549043
11/01/2019 10/31/2021CHILTON HIGH SCHOOL, 530 W MAIN ST, CHILTON, WI 530143
11/01/2019 10/31/2021CHILTON MIDDLE SCHOOL, 421 COURT ST, CHILTON, WI 530143
11/01/2019 10/31/2021CLAY LAMBERTON ELEMENTARY, 259 E MARQUETTE ST, BERLIN, WI 549233
11/01/2019 10/31/2021CLAYTON ELEMENTARY SCHOOL, 2916 WEST FAIRVIEW ROAD, NEENAH, WI 549563
11/01/2019 10/31/2021CLOVIS GROVE ELEMENTARY SCHOOL, 974 9TH ST, MENASHA, WI 549523
11/01/2019 10/31/2021COOLIDGE ELEMENTARY SCHOOL, 321 ALCOTT DRIVE, NEENAH, WI 549563
11/01/2019 10/31/2021FREEDOM ELEMENTARY SCHOOL, N3569 COUNTY ROAD E, FREEDOM, WI 549133
11/01/2019 10/31/2021FREEDOM HIGH & MIDDLE SCHOOLS, N4021 COUNTY ROAD E, FREEDOM, WI 549133
11/01/2019 10/31/2021GEGAN ELEMENTARY, 675 AIRPORT RD, MENASHA, WI 549523
11/01/2019 10/31/2021GREENVILLE ELEMENTARY SCHOOL, W6822 GREENRIDGE DR., GREENVILLE, WI 549423
11/01/2019 10/31/2021GREENVILLE MIDDLE SCHOOL, N1450 FAWN RIDGE DR., GREENVILLE, WI 549423
12/16/2019 10/31/2021HILBERT K-12, 1139 W MILWAUKEE ST, HILBERT, WI 541293
11/01/2019 10/31/2021HOOVER ELEMENTARY SCHOOL, 950 HUNT AVENUE, NEENAH, WI 549563
11/01/2019 10/31/2021HORACE MANN INTERMEDIATE SCHOOL, 1021 OAK ST, NEENAH, WI 549563
11/01/2019 10/31/2021HORIZON ELEMENTARY SCHOOL, 2101 SCHAEFER CIRCLE, APPLETON, WI 549153
11/01/2019 10/31/2021HORTONVILLE ELEMENTARY SCHOOL, 240 WARNER ST., HORTONVILLE, WI 549443
11/01/2019 10/31/2021HORTONVILLE HIGH SCHOOL, 155 WARNER ST; PO BOX 220, HORTONVILLE, WI 549443
11/01/2019 10/31/2021HORTONVILLE MIDDLE SCHOOL, 220 WARNER ST; PO BOX 359, HORTONVILLE, WI 549443
11/01/2019 10/31/2021JAMES MADISON MIDDLE SCHOOL, 2020 S. CARPENTER STREET, APPLETON, WI 549153
01/06/2020 10/31/2021JEFFERSON ELEMENTARY SCHOOL, 244 W 11TH AVE, OSHKOSH, WI 549023
11/01/2019 10/31/2021KALEIDOSCOPE ACADEMY, 318 EAST BREWSTER ST, APPLETON, WI 549113
11/01/2019 10/31/2021LAKEVIEW ELEMENTARY SCHOOL, 1645 S. COMMERCIAL ST., NEENAH, WI 549563
11/01/2019 10/31/2021MERRILL MIDDLE SCHOOL, 108 W NEW YORK AVE, OSHKOSH, WI 549013
11/01/2019 10/31/2021NEENAH HIGH SCHOOL, 1275 TULLAR ROAD, NEENAH, WI 549563
11/01/2019 10/31/2021NICOLET ELEMENTARY SCHOOL, 449 AHNAIP ST, MENASHA, WI 549523
11/01/2019 10/31/2021NORTH GREENVILLE ELEMENTARY SCHOOL, N2468 LEARNING WAY, GREENVILLE, WI 549423
11/01/2019 10/31/2021OSHKOSH NORTH HIGH SCHOOL, 1100 W. SMITH AVE., OSHKOSH, WI 549013
11/01/2019 10/31/2021OSHKOSH WEST HIGH SCHOOL, 375 N EAGLE ST, OSHKOSH, WI 549023
01/07/2020 10/31/2021PERRY TIPLER MIDDLE SCHOOL, 325 S EAGLE ST, OSHKOSH, WI 549023
11/01/2019 10/31/2021READ ELEMENTARY SCHOOL, 1120 ALGOMA BLVD, OSHKOSH, WI 549013
11/01/2019 10/31/2021ROCKLEDGE INTERMEDIATE CENTER, 330 W HICKORY ST, SEYMOUR, WI 541653
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Mental Health Program Directory By County, City, and Provider Name
11/01/2019 10/31/2021ROCKLEDGE PRIMARY CENTER, 330 WEST HICKORY ST, SEYMOUR, WI 541653
11/01/2019 10/31/2021ROOSEVELT ELEMENTARY SCHOOL, 1645 S COMMERCIAL STREET, NEENAH, WI 549563
11/01/2019 10/31/2021SHIOCTON PUBLIC SCHOOLS, N5650 BROAD ST, SHIOCTON, WI 541703
01/07/2020 10/31/2021SOUTH PARK MIDDLE SCHOOL, 1551 DELAWARE ST, OSHKOSH, WI 549023
11/01/2019 10/31/2021SPRING ROAD ELEMENTARY SCHOOL, 1191 COUNTY ROAD II, NEENAH, WI 549563
11/01/2019 10/31/2021TAFT ELEMENTARY SCHOOL, 133 WESTERN AVENUE, NEENAH, WI 549563
11/01/2019 10/31/2021TULLAR ELEMENTARY SCHOOL, 925 TULLAR ROAD, NEENAH, WI 549563
11/01/2019 10/31/2021WASHINGTON ELEMENTARY SCHOOL, 929 WINNEBAGO AVE, OSHKOSH, WI 549013
11/01/2019 10/31/2021WAUPACA HIGH SCHOOL, E2325 KING ROAD, WAUPACA, WI 549813
11/01/2019 10/31/2021WAUPACA LEARNING CENTER ELEMENTARY SCHOOL, 1515 SHOEMAKER ROAD, WAUPACA, WI 54981
3
11/01/2019 10/31/2021WAUPACA MIDDLE SCHOOL, 1149 SHOEMAKER ROAD, WAUPACA, WI 549813
11/01/2019 10/31/2021WEBSTER STANLEY MIDDLE SCHOOL, 915 HAZEL STREET, OSHKOSH, WI 549013
11/01/2019 10/31/2021WILSON ELEMENTARY SCHOOL, 920 HIGGINS AVENUE, NEENAH, WI 549563
2872LUTHERAN SOCIAL SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201906/02/2009
(920) 734-2824
(920) [email protected] KRAFT
County: OutagamieAPPLETON, WI 549113003 B NORTH RICHMOND ST
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021LUTHERAN SOCIAL SERVICES, 1850 CRANSTON ROAD, BELOIT, WI 535111
09/01/2019 08/31/2021LUTHERAN SOCIAL SERVICES, 612 N RANDALL AVE, JANESVILLE, WI 535452
Setting Begin/End DatesNon-Certified School Setting(s)09/01/2019 08/31/2021LSS-APPLETON EAST HIGH SCHOOL, 2121 E EMMERS DR, APPLETON, WI 54915
09/01/2019 08/31/2021LSS-APPLETON NORTH HIGH SCHOOL, 5000 N BALLARD RD, APPLETON, WI 54913
09/01/2019 08/31/2021LSS-APPLETON WEST HIGH SCHOOL, 610 N BADGER AVE, APPLETON, WI 54914
09/01/2019 08/31/2021LSS-BRUCE-GUADALUPE COMM SCHOOL, 1028 S 9TH ST, MILWAUKEE, WI 53204
09/01/2019 08/31/2021LSS-BRUCE-GUALALUPE MIDDLE SCHOOL, 920 S 9TH ST, MILWAUKEE, WI 53204
09/01/2019 08/31/2021LSS-EINSTEIN MIDDLE SCHOOL, 324 E FLORIDA AVE, APPLETON, WI 54911
09/01/2019 08/31/2021LSS-LINCOLN ELEMENTARY SCHOOL, 1000 N MASON ST, APPLETON, WI 54911
09/01/2019 08/31/2021LSS-MAPLEWOOD MIDDLE SCHOOL, 1600 MIDWAY RD, MENASHA, WI 54952
09/01/2019 08/31/2021LSS-MENASHA HIGH SCHOOL, 328 SEVENTH ST, MENASHA, WI 54952
09/01/2019 08/31/2021LSS-WILSON MIDDLE SCHOOL, 225 N BADGER AVE, APPLETON, WI 54914
09/01/2019 08/31/2021UCC ACOSTA MIDDLE SCHOOL, 1038 S 6TH ST, MILWAUKEE, WI 53204
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Mental Health Program Directory By County, City, and Provider Name
2512OPTIONS TREATMENT PROGRAMS INC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/2004
(920) 735-9050
(920) [email protected] HAGEN
County: OutagamieAPPLETON, WI 549141000 N LYNNDALE DRIVE STE C
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2018 03/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020OPTIONS TREATMENT PROGRAMS, INC., 424 S MONROE AVE #201, GREEN BAY, WI 543012
04/01/2018 03/31/2020OPTIONS TREATMENT PROGRAMS, INC., 922 CHURCHILL ST, WAUPACA, WI 549812
04/01/2018 03/31/2020OPTIONS TREATMENT PROGRAMS-OSHKOSH, 502 E. NEW YORK AVE., OSHKOSH, WI 549012
2314OUTAGAMIE COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/1987
(920) 832-5488
(920) [email protected] BEZIER
County: OutagamieAPPLETON, WI 54911320 S WALNUT ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
1724OUTAGAMIE COUNTY DEPT OF HEALTH & HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201907/01/1987
(920) 832-4767
(920) [email protected] RENTERIA
County: OutagamieAPPLETON, WI 54911320 S WALNUT ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
2590OUTAGAMIE CTY HEALTH AND HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2005
(920) 832-5488
(920) [email protected] VAN RYZIN
County: OutagamieAPPLETON, WI 54911320 S WALNUT ST
CCS Affiliaton: 09/01/2014Begin: End: Lead:Northeastern Region CCS Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2794PARTNERSHIP COMMUNITY HEALTH CENTER
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2008
(920) 882-2946
(920) [email protected] STACKER
County: OutagamieAPPLETON, WI 549135471 WATERFORD LANE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021COTS, INC, 913 S. WEST AVE, APPLETON, WI 549151
3098ROGERS MEMORIAL HOSPITAL - APPLETON
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201809/21/2015
(262) 464-1049
(262) [email protected] SCHULTZ
County: OutagamieAPPLETON, WI 549144351 W COLLEGE AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 09/01/2018 08/31/2020
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 09/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 12/05/2018 08/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 W/TELEHEALTH DHS 40.11(2)(B)
12/05/2018 11/29/2019
Services
NO BRANCH LOCATIONS
3115SARIS COUNSELING LLC DBA EVOLVE
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2016
(920) 243-1792
(920) [email protected] VELISSARIS
County: OutagamieAPPLETON, WI 549143416 ASSOCIATION DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
2450SHERMAN COUNSELING MANAGEMENT
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/05/2003
(920) 733-6565
(920) 733-2065 [email protected] DREWEK
County: OutagamieAPPLETON, WI 54914W6144 AREOTECH DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2018 05/31/2020SHERMAN CONSULTING - APPLETON NORTH, 2505 E EVERGREEN DR STE C, APPLETON, WI 549132
07/10/2019 05/31/2020SHERMAN COUNSELING - FOND DU LAC, 131 N ROLLING MEADOWS, STE C, FOND DU LAC, WI 54937
2
06/01/2018 05/31/2020SHERMAN COUNSELING - GREEN BAY, 2270 HOLMGREN WAY, GREEN BAY, WI 543042
07/10/2019 05/31/2020SHERMAN COUNSELING - MANITOWOC, 980 MARITIME DR, STE 6, MANITOWOC, WI 542202
06/01/2018 05/31/2020SHERMAN COUNSELING - OSHKOSH, 2370 STATE ROAD 44, #D, OSHKOSH, WI 549042
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Mental Health Program Directory By County, City, and Provider Name
1997WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC DBA CHRISTIAN FAMILY SOLUTIONS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201805/01/1990
(262) 345-5531
(262) [email protected] ROBINSON
County: OutagamieAPPLETON, WI 549144351 WEST COLLEGE AVE #410
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020WLCFS - CHRISTIAN FAMILY SOLUTIONS, 757 S MAIN ST, STE 8, FOND DU LAC, WI 549352
09/01/2018 08/31/2020FOX VALLEY LUTHERAN HS, 5300 N MEADE ST, APPLETON, WI 549133
09/01/2018 08/31/2020NORTHLAND LUTHERAN HS, 2107 TOWER ROAD, MOSINEE, WI 544553
09/01/2018 08/31/2020WINNEBAGO LUTHERAN ACADEMY, 475 E MERRILL AVE, FOND DU LAC, WI 549353
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Mental Health Program Directory By County, City, and Provider Name
OZAUKEECEDARBURG
1695NORTHSHORE CLINIC & CONSULTANTS, INC.
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201910/01/1987
(262) 375-1071
(262) [email protected] RUPPNOW
County: OzaukeeCEDARBURG, WI 53012W62 N248 WASHINGTON AVE., #207
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2021NORTHSHORE CLINIC & CONSULTANTS, 207 E BUFFALO STREET, #510, MILWAUKEE, WI 532022
08/01/2019 07/31/2021NORTHSHORE CLINIC & CONSULTANTS, 2363 S 102ND STREET, #203, WEST ALLIS, WI 532272
08/01/2019 07/31/2021NORTHSHORE CLINIC & CONSULTANTS, INC., 1615 BARTON AVENUE, WEST BEND, WI 530902
MEQUON
2368AMERICAN BEHAVIORAL CLINICS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202007/01/201805/01/2002
(262) 241-4311
(262) [email protected] SCHRINSKY
County: OzaukeeMEQUON, WI 530921240 W RANCHITO LANE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 05/31/2020AMERICAN BEHAVIORAL CLINICS-BLUEMOUND #2, 9720 W BLUEMOUND ROAD, MILWAUKEE, WI
532261
07/01/2018 05/31/2020AMERICAN BEHAVIORAL CLINICS-BLUEMOUND #1, 10424 W BLUEMOUND ROAD, MILWAUKEE, WI 53226
2
07/01/2018 05/31/2020AMERICAN BEHAVIORAL CLINICS-ELM GROVE, 15285 WATERTOWN PLANK ROAD, ELM GROVE, WI 53122
2
07/01/2018 05/31/2020AMERICAN BEHAVIORAL CLINICS-LAYTON, 7330 W LAYTON AVENUE, MILWAUKEE, WI 532202
2507COLUMBIA ST MARY'S BEHAVIORAL MEDICINE-MEQUON
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201809/02/2003
(262) 241-6132
(262) [email protected] GAURKEE
County: OzaukeeMEQUON, WI 5309713111 N PORT WASHINGTON ROAD
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 03/01/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1873COLUMBIA ST. MARY'S OZAUKEE HOSPITAL BEHAVIORAL HEALTH UNIT
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201809/01/1984
(262) 243-8380
(262) [email protected] GAURKEE
County: OzaukeeMEQUON, WI 5309713111 N PORT WASHINGTON RD
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 03/01/2018 02/29/2020
MENTAL HEALTH-INPATIENT DHS 61.71 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
2747GREENSQUARE DEVELOPMENTAL SPECIALISTS
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/17/2007
(414) 247-0894
(414) [email protected] CLEMENS
County: OzaukeeMEQUON, WI 530921655 WEST MEQUON ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020GREENSQUARE COA GOLDIN CENTER, 2320 WEST BURLEIGH ST, MILWAUKEE, WI 532061
08/01/2018 07/31/2020GREENSQUARE YMCA, 1350 W NORTH AVE, MILWAUKEE, WI 532051
08/01/2018 07/31/2020GREENSQUARE BAYSHORE, 7950 N PORT WASHINGTON RD, FOX POINT, WI 532172
08/01/2018 07/31/2020GREENSQUARE FOREST VIEW, 4855 S MOORELAND RD SUITE 150, NEW BERLIN, WI 531512
08/01/2018 07/31/2020GREENSQUARE FRANKLIN, 7322 W RAWSON AVE, FRANKLIN, WI 531322
08/01/2018 07/31/2020GREENSQUARE GREENFIELD, 3365 S 103RD ST #210, MILWAUKEE, WI 532272
08/01/2018 07/31/2020GREENSQUARE MIDTOWN, 5433 WEST FOND DU LAC AVE, MILWAUKEE, WI 532162
08/01/2018 07/31/2020GREENSQUARE NEXT DOOR, 2561 NORTH 29TH ST, MILWAUKEE, WI 532162
07/03/2019 07/31/2020GREENSQUARE PEWAUKEE, 1215 GEORGE TOWNE DR, PEWAUKEE, WI 530722
08/01/2018 07/31/2020GREENSQUARE RIVER GLEN, 4655 N PORT WASHINGTON RD #200, GLENDALE, WI 532122
PORT WASHINGTON
1276DEPARTMENT OF COMMUNITY PROGRAMS-OZAUKEE COUNTY
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201806/01/1977
(262) 238-8104
(262) [email protected] CARLSON
County: OzaukeePORT WASHINGTON, WI 53074121 W. MAIN STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 10/01/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2274DEPARTMENT OF COMMUNITY PROGRAMS-OZAUKEE COUNTY CSP
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201906/01/1977
(262) 238-8104
(262) [email protected] CARLSON
County: OzaukeePORT WASHINGTON, WI 53074121 W. MAIN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
3050OZAUKEE COUNTY CCS PROGRAM
Surveyor: Connie Knezic
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201809/22/2014
(262) 284-8104
(262) [email protected] CARLSON
County: OzaukeePORT WASHINGTON, WI 53074121 W MAIN STREET
CCS Affiliaton: 01/01/2015Begin: End: Lead:Lakeshore Recovery Collaborative
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
PEPINDURAND
2887CATALYST FOR CHANGE CONSULTANTS, LLP
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/24/2009
(608) 268-9824
(715) [email protected] JULEFF
County: PepinDURAND, WI 547361316 E PROSPECT ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
PIERCEELLSWORTH
1737PIERCE COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201912/01/1981
(715) 273-6862
(715) [email protected] KIESLER
County: PierceELLSWORTH, WI 54011412 W KINNE STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
2963PIERCE COUNTY DEPARTMENT OF HUMAN SERVICES/NORTHWEST CONNECTIONS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201911/01/2011
(715) 273-6862
(715) [email protected] KIESLER
County: PierceELLSWORTH, WI 54011412 W. KINNE STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 04/01/2019 03/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 04/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
3020PIERCE COUNTY DEPT OF HUMAN SVS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/01/2014
(715) 273-6862
(715) [email protected] KIESLER
County: PierceELLSWORTH, WI 54011412 WEST KINNE STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
POLKAMERY
2839AMERY REGIONAL MEDICAL CENTER BEHAVIORAL HEALTH CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/08/2008
(715) 268-0061
(715) 268-0060Heather.E.Erickson@AmerymedicalHEATHER ERICKSON
County: PolkAMERY, WI 54001230 DERONDA STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
MENTAL HEALTH-INPATIENT DHS 61.71 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021CLEAR LAKE CLINIC, 357 THIRD AVENUE, CLEAR LAKE, WI 540051
12/01/2019 11/30/2021LUCK CLINIC, AMERY HOSPITAL AND CLINIC, 2547 STATE ROAD 35, SUITE 1, LUCK, WI 548531
12/01/2019 11/30/2021TURTLE LAKE CLINIC, 550 MARTIN AVENUE, TURTLE LAKE, WI 548891
2195NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - AMERY
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201802/14/2000
(888) 625-8641
(715) [email protected] MAURER
County: PolkAMERY, WI 540011096 APPLE AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2018 01/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
02/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
BALSAM LAKE
2222POLK COUNTY BEHAVIORAL HEALTH DEPARTMENT CSP
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201801/26/2000
(715) 485-8450
(715) [email protected] LAVASSEUR
County: PolkBALSAM LAKE, WI 54810100 POLK CO PLAZA #50
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
2204POLK COUNTY BEHAVIORAL HEALTH DEPT
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201802/08/2000
(715) 485-8490
(715) [email protected] LAVASSEUR
County: PolkBALSAM LAKE, WI 54810100 POLK COUNTY PLAZA #50
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 09/12/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
FREDERIC
2254NORTHWEST COUNSELING AND GUIDANCE CLINIC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201808/25/1999
(715) 327-4470
(715) [email protected] FREDRICKSON
County: PolkFREDERIC, WI 54837203 UNITED WAY DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2018 01/31/2020NORTHWEST PASSAGE RIVERSIDE, 7818 MOLINE RD, PO BOX 349, WEBSTER, WI 548932
OSCEOLA
2792PEACE TREE COUNSELING LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/24/2008
(715) 417-3243
(715) [email protected] ZELLMER
County: PolkOSCEOLA, WI 54020108 CHIEFTAIN ST STE B
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier06/01/2019 05/31/2021PEACE TREE COUNSELING, LLC, 710 N MAIN STREET #101B, RIVER FALLS, WI 540222
Setting Begin/End DatesNon-Certified School Setting(s)06/01/2019 05/31/2021FREDERIC ELEMENTARY SCHOOL, 305 BIRCH ST, FREDERIC, WI 54837
06/01/2019 05/31/2021FREDERIC HIGH SCHOOL, 1437 CLAM FALLS DR, FREDERIC, WI 54837
06/01/2019 05/31/2021OSCEOLA ELEMENTARY SCHOOL, 250 10TH AVE EAST, OSCEOLA, WI 54020
06/01/2019 05/31/2021OSCEOLA HIGH SCHOOL, 1111 OAK RIDGE DR, OSCEOLA, WI 54020
06/01/2019 05/31/2021OSCEOLA INTERMEDIATE SCHOOL, 949 EDUCATION AVE, OSCEOLA, WI 54020
06/01/2019 05/31/2021OSCEOLA MIDDLE SCHOOL, 1029 OAK RIDGE DR, OSCEOLA, WI 54020
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Mental Health Program Directory By County, City, and Provider Name
PORTAGEPLOVER
2566OSWALD COUNSELING ASSOCIATES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/14/2005
(715) 342-0291
(715) [email protected] OSWALD
County: PortagePLOVER, WI 544672450 VINEYARD DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
STEVENS POINT
3051ADVOCATE PSYCHOTHERAPY SERVICES, LLC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/01/2014
(715) 952-4995
(800) [email protected] JOHNSON
County: PortageSTEVENS POINT, WI 544823233A BUSINESS PARK DR, STE 304
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 09/30/2020BOYS & GIRLS CLUB OF PORTAGE CO, 2401 CEDAR DR, PLOVER, WI 544671
07/01/2019 09/30/2020BOYS & GIRLS CLUB OF PORTAGE CO, 941 MICHIGAN AVE, STEVENS POINT, WI 544811
Setting Begin/End DatesNon-Certified School Setting(s)02/12/2019 09/30/2020HOWE ELEMENTARY SCHOOL, 221 8TH ST N, WISCONSIN RAPIDS, WI 54494
10/01/2018 09/30/2020KENNEDY ELEMENTARY SCHOOL, 616 WEST SECOND STREET, JUNCTION CITY, WI 54443
10/01/2018 09/30/2020MEAD ELEMENTARY CHARTER SCHOOL, 241 - 17TH STREET SOUTH, WISCONSIN RAPIDS, WI 54495
10/01/2018 09/30/2020TRI-COUNTY AREA SCHOOL, 409 S WEST STREET, PLAINFIELD, WI 54966
10/31/2019 09/30/2020WISCONSIN RAPIDS MIDDLE SCHOOL, 1921 27TH AVE S, WISCONSIN RAPIDS, WI 54495
01/07/2019 09/30/2020WOODSIDE ELEMENTARY SCHOOL, 611 - 2 MILE AVENUE, WISCONSIN RAPIDS, WI 54494
1796ASCENSION MEDICAL GROUP - NORTHERN WISCONSIN, INC.
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202012/01/1983
(715) 343-2088
(715) [email protected] TRZEBIATOWSKI
County: PortageSTEVENS POINT, WI 544813398 E MARIA DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021ASCENSION MED GRP PSYCHIATRY DEPT, 122 WILSHIRE BLVD NORTH BLDG 2, STEVENS POINT,
WI 544812
01/01/2020 12/31/2021WESTON CLINIC, 3301 CRANBERRY BLVD, WESTON, WI 544762
01/01/2020 12/31/2021BANNACH ELEMENTARY SCHOOL, 5400 WALTER STREET, STEVENS POINT, WI 544813
01/08/2020 12/31/2021PJ JACOBS JUNIOR HIGH SCHOOL, 2400 MAIN ST, STEVENS POINT, WI 544813
01/01/2020 12/31/2021STEVENS POINT AREA SENIOR HIGH, 1201 NORTHPOINT DR, STEVENS POINT, WI 544813
01/01/2020 12/31/2021WASHINGTON ELEMENTARY, 3500 PRAIS STREET, STEVENS POINT, WI 544813
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Mental Health Program Directory By County, City, and Provider Name
1217ASCENSION ST MICHAELS BEHAVIORAL HEALTH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201905/01/1991
(715) 344-8127
(715) [email protected] ROBERTS
County: PortageSTEVENS POINT, WI 54481209 PRENTICE ST N
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021ASCENSION ST MICHAELS BEHAVIORAL HEALTH, 190 GRAND SEASONS DR, WAUPACA, WI 549812
1820ASCENSION ST MICHAELS BEHAVIORAL HEALTH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201905/01/1978
(715) 346-5571
(715) [email protected] ROBERTS
County: PortageSTEVENS POINT, WI 54481900 ILLINOIS AVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 10/01/2019 09/30/2021
MENTAL HEALTH-INPATIENT DHS 61.71 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
1662NEW DIRECTIONS COUNSELING CENTER, LLC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201809/16/1996
(715) 345-2938
(715) [email protected] DICKINSON
County: PortageSTEVENS POINT, WI 544825541 HWY 10 EAST, SUITE B
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/11/2019 05/31/2020BOYS & GIRLS CLUB OF PORTAGE CO, 941 MICHIGAN AVE, STEVENS POINT, WI 544811
06/01/2018 05/31/2020NEW DIRECTIONS COUNSELING CENTER, N2919 COUNTY RD QQ, WAUPACA, WI 549811
06/01/2018 05/31/2020BEN FRANKLIN JR JIGH, 2000 POLK ST, STEVENS POINT, WI 544813
06/01/2018 05/31/2020PJ JACOBS JUNIOR HIGH SCHOOL, 2400 MAIN ST, STEVENS POINT, WI 544813
06/01/2018 05/31/2020PLOVER-WHITING ELEMENTARY SCHOOL, 1400 HOOVER AVENUE, PLOVER, WI 544673
06/01/2018 05/31/2020ROOSEVELT IDEA ELEMENTARY SCHOOL, 2200 WISCONSIN AVE., PLOVER, WI 544673
06/01/2018 05/31/2020STEVENS POINT AREA SENIOR HIGH SCHOOL, 1201 NORTH POINT DR., STEVENS POINT, WI 544813
06/01/2018 05/31/2020WAUPACA HIGH SCHOOL, E2325 KING ROAD, WAUPACA, WI 549813
06/01/2018 05/31/2020WAUPACA LEARNING CENTER, 1515 SHOEMAKER ROAD, WAUPACA, WI 549813
06/01/2018 05/31/2020WAUPACA MIDDLE SCHOOL, 515 SHOEMAKER ROAD, WAUPACA, WI 549813
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Mental Health Program Directory By County, City, and Provider Name
2405NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - STEVENS POINT
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201910/14/2002
(844) 810-8859
(715) [email protected] MAURER
County: PortageSTEVENS POINT, WI 54481931 MICHIGAN AVE STE 101
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 02/01/2019 01/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
02/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
1740PORTAGE COUNTY HEALTH & HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201906/01/1976
(715) 345-5966
(715) [email protected] HAKE
County: PortageSTEVENS POINT, WI 54481817 WHITING AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
2712PORTAGE COUNTY HEALTH & HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2007
(715) 345-5966
(715) [email protected] HAKE
County: PortageSTEVENS POINT, WI 54481817 WHITING AVENUE
CCS Affiliaton: 09/01/2014Begin: End: Lead:Portage Wood Partnership
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
2230RIVERWOOD COUNSELING ASSOCIATES LLC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/17/2000
(715) 343-5899
(715) [email protected] A MILLER
County: PortageSTEVENS POINT, WI 544811052 MAIN STREET, #202
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
PRICEPHILLIPS
3256ACCESS, INC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201905/01/2019
(715) 235-2688
(715) [email protected] WOLF
County: PricePHILLIPS, WI 54555171 CHESTNUT ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 05/21/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2644PRICE COUNTY HEALTH & HUMAN SERVICES/AURORA
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201902/01/2006
(715) 339-4018
(715) [email protected] SCHREUDER
County: PricePHILLIPS, WI 54555104 S EYDER
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 02/01/2019 01/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
RACINEBURLINGTON
1089AURORA MEDICAL GROUP BEHAVIORAL HEALTH SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202111/25/201910/01/1983
(262) 763-9326
(262) [email protected] VALENTIN
County: RacineBURLINGTON, WI 53105116 DODGE STREET, STE 3
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/25/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/25/2019 01/31/2021AURORA MED GROUP BEHAV HLTH-WATERFORD, 818 FORREST, WATERFORD, WI 531852
1206CLINICAL PSYCHOLOGY ASSOCIATES OF BURLINGTON
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/01/1993
(262) 763-7767
(262) [email protected] W THOMPSON PHD
County: RacineBURLINGTON, WI 53105345 MILWAUKEE AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2018 03/31/2020CLINICAL PSYCHOLOGY ASSOC OF WATERFORD, 207B MILWAUKEE AVENUE, WATERFORD, WI
531851
Setting Begin/End DatesNon-Certified School Setting(s)01/29/2019 03/31/2020BURLINGTON HIGH SCHOOL, 4000 MCCANNA PKWY, BURLINGTON, WI 53105
01/29/2019 03/31/2020DYER INTERMEDIATE SCHOOL, 201 S KENDRICK AVE, BURLINGTON, WI 53105
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Mental Health Program Directory By County, City, and Provider Name
RACINE
1027ASCENSION ALL SAINTS MENTAL HEALTH & ADDICTION CARE
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202008/09/201807/01/1990
(262) 687-2802
(262) [email protected] YONKOSKI
County: RacineRACINE, WI 534031320 WISCONSIN AVENUE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/09/2018 06/30/2020
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 08/09/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/09/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/09/2018 06/30/2020
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 08/09/2018 06/30/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 08/09/2018 06/30/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 08/09/2018 06/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 08/09/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/06/2018 06/30/2020ASCENSION ALL SAINTS - CARDIAC REHAB, 3803 SPRING ST, RACINE, WI 534051
01/22/2020 06/30/2020AHCMP, 10180 WASHINGTON AVE, MOUNT PLEASANT, WI 531772
08/09/2018 06/30/2020ASCENSION ALL SAINTS - FAMILY MED CLINIC, 3807 SPRING ST #3063A, RACINE, WI 534052
06/25/2019 06/30/2020ASCENSION ALL SAINTS - FAMILY MEDICINE, 1320 WISCONSIN AVE, RACINE, WI 534032
08/09/2018 06/30/2020ASCENSION ALL SAINTS - FOUR MILE, 2408 FOUR MILE ROAD, RACINE, WI 534022
08/09/2018 06/30/2020ASCENSION ALL SAINTS - MT PLEASANT, 4328 OLD GREEN BAY RD, MOUNT PLEASANT, WI 534032
08/09/2018 06/30/2020ASCENSION ALL SAINTS - NEUROLOGY, 3805B SPRING ST 3RD FLOOR, RACINE, WI 534052
08/09/2018 06/30/2020ASCENSION ALL SAINTS - OAK CREEK, 8020 S HOWELL AVE, OAK CREEK, WI 531542
06/25/2019 06/30/2020ASCENSION ALL SAINTS - ONCOLOGY, 3809 SPRING ST, RACINE, WI 534052
08/09/2018 06/30/2020ASCENSION ALL SAINTS - SLHP, 3821 SPRING ST, RACINE, WI 534052
08/09/2018 06/30/2020ASCENSION ALL SAINTS - SUITE 20, 3805B SPRING ST LL-20, RACINE, WI 534052
08/09/2018 06/30/2020ASCENSION ALL SAINTS - SUITE 240, 3805B SPRING ST #240, RACINE, WI 534052
09/06/2018 06/30/2020ASCENSION ALL SAINTS - SUITE 340, 3805B SPRING ST #340, RACINE, WI 534052
08/09/2018 06/30/2020ASCENSION ALL SAINTS - UNION GROVE, 1120 MAIN ST, UNION GROVE, WI 531822
2976BEHAVIORAL HEALTH SERVICES OF RACINE COUNTY
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201908/02/2012
(262) 638-6540
(262) [email protected] GOGGINS
County: RacineRACINE, WI 534031717 TAYLOR AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/01/2019 11/29/2019
CSAS-PREVENTION DHS 75.04 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1135CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/01/1981
(262) 637-0695
(414) [email protected] BIBO
County: RacineRACINE, WI 53403800 WISCONSIN AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020CATHOLIC CHARITIES OF MILW - KENOSHA, 2224 45TH ST., KENOSHA, WI 531401
1180CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/1984
(262) 633-2619
(262) [email protected] HULETZ
County: RacineRACINE, WI 534068800 WASHINGTON AVE, SUITE 100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021CSSW - BURLINGTON, 480 S PINE, BURLINGTON, WI 531052
Setting Begin/End DatesNon-Certified School Setting(s)10/01/2019 09/30/2021FRATT ELEMENTARY SCHOOL, 3501 KINZIE AVE, RACINE, WI 53405
10/01/2019 09/30/2021GIFFORD K-8, 8332 NORTHWESTERN AVE, RACINE, WI 53406
10/01/2019 09/30/2021JERSTAD-AGERHOLM K-8, 3535 LASALLE ST, RACINE, WI 53402
10/01/2019 09/30/2021JULIAN THOMAS ELEMENTARY SCHOOL, 930 DR MARTIN LUTHER KING DR, RACINE, WI 53404
10/01/2019 09/30/2021KNAPP ELEMENTARY SCHOOL, 2701 17TH ST, RACINE, WI 53405
10/01/2019 09/30/2021MITCHELL K-8, 2701 DREXEL AVE, RACINE, WI 53405
10/01/2019 09/30/2021SC JOHNSON ELEMENTARY SCHOOL, 2420 KENTUCKY ST, RACINE, WI 53404
10/01/2019 09/30/2021WADEWITZ ELEMENTARY SCHOOL, 2700 YOUT ST, RACINE, WI 53404
2958DEROSE FAMILY COUNSELING LLC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/07/2012
(262) 633-1236
(262) [email protected] DEROSE
County: RacineRACINE, WI 53403316 5TH STREET SUITE 1
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
1339FAMILY SERVICE OF RACINE, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201911/01/1983
(262) 634-5342
(262) [email protected] HANSON WILL
County: RacineRACINE, WI 53403420 SEVENTH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3212LAKESIDE FAMILY THERAPY SERVICES, LTD
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202108/01/201907/02/2018
(262) 637-9995
(262) [email protected] V MCRAE
County: RacineRACINE, WI 534064810 NORTHWESTERN AVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 08/01/2019 07/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2019 07/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2019 07/31/2021
Services
NO BRANCH LOCATIONS
2773PORTIS MARRIAGE AND CHILDREN COUNSELING CLINIC LLC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201902/05/2008
(262) 884-9735
(262) [email protected] PORTIS-PATTERSON
County: RacineRACINE, WI 534065801 WASHINGTON AVENUE, #110
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
3031RACINE COUNTY CCS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201905/08/2014
(262) 638-6983
(262) [email protected] GOGGINS
County: RacineRACINE, WI 534031717 TAYLOR AVE
CCS Affiliaton: 12/01/2014Begin: End: Lead:Kenosha Racine Regional Consortium (KRRC)
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 06/01/2019 05/31/2021
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 06/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2490RACINE COUNTY HUMAN SERVICES DEPARTMENT
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/14/2004
(262) 638-6983
(262) [email protected] GOGGINS
County: RacineRACINE, WI 534031717 TAYLOR AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
2952RACINE COUNTY HUMAN SERVICES DEPARTMENT COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2011
(262) 638-6983
(262) [email protected] GOGGINS
County: RacineRACINE, WI 534031717 TAYLOR AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
STURTEVANT
1757PSYCHIATRIC SERVICES OF RACINE
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201805/01/1988
(262) 635-5530
(262) [email protected] ROGINSKI
County: RacineSTURTEVANT, WI 531778700 DURAND AVE #600
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
WATERFORD
2934LAKEVIEW CARE PARTNERS WISCONSIN
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/14/2011
(262) 534-8553
(262) [email protected]. CYNTHIA SORENSON
County: RacineWATERFORD, WI 531851701 SHARP ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
RAMSEYMAPLEWOOD
2903FAMILY INNOVATIONS INC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202005/01/201805/01/2013
(651) 773-7591
(651) [email protected] RUNION
County: RamseyMAPLEWOOD, MN 551092103 B&C COUNTY RD D EAST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 05/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 05/31/2020FAMILY INNOVATIONS, INC, 131 CARMICHAEL, HUDSON, WI 540162
05/01/2018 05/31/2020FAMILY INNOVATIONS, INC, 215 MAIN STREET STE 205, BALSAM LAKE, WI 548102
05/01/2018 05/31/2020FAMILY INNOVATIONS, INC., 6303 OSGOOD AVE, STILLWATER, MN 550822
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Mental Health Program Directory By County, City, and Provider Name
RICHLANDRICHLAND CENTER
3267PINE COUNSELING INC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202011/13/201911/13/2019
(608) 383-1480
(931) [email protected] M KRAMER
County: RichlandRICHLAND CENTER, WI 53581204 S ORANGE ST
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/03/2020 11/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/13/2019 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/13/2019 11/30/2020
Services
NO BRANCH LOCATIONS
1797RICHLAND COUNTY HEALTH & HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/01/1988
(608) 647-6611
(608) [email protected] CULVER
County: RichlandRICHLAND CENTER, WI 53581221 W SEMINARY STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 02/01/2018 01/31/2020
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 02/01/2018 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 02/01/2018 01/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 02/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2018 01/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 02/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 02/01/2018 01/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 02/01/2018 11/29/2019
Services
Setting Begin/End DatesNon-Certified School Setting(s)12/14/2018 01/31/2020DOUDNA ELEMENTARY SCHOOL, 1990 BOHMANN DR, RICHLAND CENTER, WI 53581
2563RICHLAND COUNTY HEALTH AND HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202002/01/201801/01/2005
(608) 647-6611
(608) [email protected] CULVER
County: RichlandRICHLAND CENTER, WI 53581221 W SEMINARY STREET
CCS Affiliaton: 07/01/2014Begin: End: Lead:Wisconsin River CCS Collaboration
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 02/01/2018 01/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
ROCKBELOIT
1100BELOIT MEMORIAL HOSPITAL-COUNSELING CARE CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201807/01/1985
(608) 363-5756
(608) [email protected] NEECE
County: RockBELOIT, WI 535111969 W HART ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020BELOIT HEALTH SYSTEM, CANCER CENTER, 1670 LEE LANE, BELOIT, WI 535111
12/01/2018 11/30/2020JANESVILLE CLINIC, 1409 B CRESTON PARK MALL DRIVE, JANESVILLE, WI 535451
12/01/2018 11/30/2020CCC - BELOIT LEARNING ACADEMY, 1033 WOODWARD AVE, BELOIT, WI 535113
12/01/2018 11/30/2020CCC - BELOIT MEMORIAL HIGH SCHOOL, 1225 4TH STREET, BELOIT, WI 535113
3190COMMUNITY HEALTH SYSTEM BEHAVIORAL HEALTH
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202202/01/202002/01/2018
(608) 313-3119
(608) [email protected] BETH JOHNSON
County: RockBELOIT, WI 5351174 ECLIPSE CENTER
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2020 01/31/2022
Services
NO BRANCH LOCATIONS
1331FAMILY SERVICES OF SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/1981
(608) 365-4097
(608) [email protected] JELINEK
County: RockBELOIT, WI 53511416 COLLEGE STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
1804ROCK COUNTY HUMAN SERVICES DEPARTMENT - BELOIT COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201909/01/1989
(608) 363-6392
(608) [email protected] COTTINGTON
County: RockBELOIT, WI 5351164 ECLIPSE CENTER
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
JANESVILLE
1075ASSOCIATES IN PSYCHOTHERAPY, LLC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201808/01/1980
(608) 752-6942
(608) 752-7255carolannward@associatesinpsychotCAROL ANN WARD
County: RockJANESVILLE, WI 535464700 DRESSER DRIVE STE #100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
1809COMPASS BEHAVIORAL HEALTH CLINIC, A DIVISION OF RVCP
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/1990
(608) 741-4502
(608) [email protected] EGGERS
County: RockJANESVILLE, WI 53546203 W SUNNY LANE ROAD
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 10/09/2018 02/29/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020COMPASS BEHAVIORAL HEALTH CLINIC, 1820 CENTER AVE #170, JANESVILLE, WI 535462
1381GENESIS COUNSELING SERVICES LTD
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/1988
(608) 757-2319
(608) [email protected] BURNS
County: RockJANESVILLE, WI 53545ONE S MAIN STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
3002MERCY HEALTH SYSTEM - MERCY OPTIONS WINGS PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201905/18/2013
(608) 756-6564
(608) [email protected] USGAARD
County: RockJANESVILLE, WI 53548903 MINERAL POINT AVENUE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH-DAY TREATMENT DHS 61.75 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1612MERCY OPTIONS - MERCY HEALTH SYSTEMS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201910/01/1984
(608) 741-6962
(608) [email protected] VINEY
County: RockJANESVILLE, WI 535481000 MINERAL POINT AVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 07/01/2019 06/30/2021
MENTAL HEALTH-INPATIENT DHS 61.71 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
1610MERCY OPTIONS BEHAVIORAL HEALTH CLINIC JANESVILLE
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/1993
(608) 756-0174
(608) [email protected] ROSE-BARAJAS
County: RockJANESVILLE, WI 53548903 MINERAL POINT ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021MERCY CLINIC NORTH, 3400 DEERFIELD DRIVE, JANESVILLE, WI 535461
01/01/2020 12/31/2021MERCY OPTIONS-OUTPATIENT SERVICES, 507 W MAIN ST, WHITEWATER, WI 531901
01/01/2020 12/31/2021MERCY WEST CLINIC, 1000 MINERAL POINT ROAD, JANESVILLE, WI 535451
01/01/2020 12/31/2021MERCY BELOIT CLINIC, 2825 PRAIRIE AVENUE, BELOIT, WI 535112
01/01/2020 12/31/2021MERCY EVANSVILLE CLINIC, 300 UNION STREET, EVANSVILLE, WI 535362
01/01/2020 12/31/2021MERCY OPTIONS BEHAVIORAL HEALTH CLINIC - MERCYCARE, 580 N. WASHINGTON ST., JANESVILLE, WI 53548
2
01/01/2020 12/31/2021MERCY OPTIONS BH CLINIC - WALWORTH, N2846 STATE ROAD 67, WILLIAMS BAY, WI 531912
01/07/2020 12/31/2021CRAIG HIGH SCHOOL, 401 RANDALL AVENUE, JANESVILLE, WI 535453
01/07/2020 12/31/2021MILTON HIGH SCHOOL, 114 W HIGH STREET, MILTON, WI 535633
01/07/2020 12/31/2021MILTON MIDDLE SCHOOL, 448 E HIGH STREET, MILTON, WI 535633
01/07/2020 12/31/2021NORTHSIDE INTERMEDIATE SCHOOL, 159 NORTHSIDE DRIVE, MILTON, WI 535633
Setting Begin/End DatesNon-Certified School Setting(s)01/01/2020 12/31/2021PARKER HIGH SCHOOL, 3125 MINERAL POINT AVE, JANESVILLE, WI 53548
01/01/2020 12/31/2021WILSON ELEMENTARY SCHOOL, 465 ROCKPORT ROAD, JANESVILLE, WI 53548
2741MERCY OPTIONS CHILD AND ADOLESCENT DAY TREATMENT
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2007
(608) 758-5761
(608) [email protected] USGAARD
County: RockJANESVILLE, WI 535452600 HUMES RD, SUITE 100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 07/01/2019 06/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3030ROCK COUNTY COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2014
(608) 757-5545
(608) [email protected] SINGER
County: RockJANESVILLE, WI 535461900 CENTER AVE
CCS Affiliaton: 08/01/2014Begin: End: Lead:JRW Tri County Regional CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
1807ROCK COUNTY COUNSELING CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201810/01/1975
(608) 757-5545
(608) [email protected] LAKE
County: RockJANESVILLE, WI 53548113 S FRANKLIN STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020ROCK COUTNY JOB CENTER, 1900 CENTER AVENUE, JANESVILLE, WI 535461
09/01/2018 08/31/2020COURT STREET BRANCH OFFICE, 303 W. COURT ST., JANESVILLE, WI 535482
09/01/2018 08/31/2020ROCK CNTY CNSLNG CTR - BELOIT BRANCH, 64 ECLIPSE CENTER, BELOIT, WI 535112
09/01/2018 08/31/2020ROCK CNTY CNSLNG CTR - HEALTHCARE CTR BRANCH, 3530 N COUNTY TRK HWY F, JANESVILLE, WI 53547
2
1803ROCK COUNTY HUMAN SERVICES CRISIS INTERVENTION UNIT
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201801/10/1975
(608) 758-8426
(608) [email protected] TRIMBLE
County: RockJANESVILLE, WI 535473530 N COUNTY HIGHWAY F
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
1805ROCK COUNTY HUMAN SERVICES DEPT JANESVILLE COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201909/01/1989
(608) 757-5545
(608) [email protected] COTTINGTON
County: RockJANESVILLE, WI 53548113 S FRANKLIN ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1265TRIVIUM DBA CROSSROADS COUNSELING CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201909/01/1977
(608) 755-5267
(608) [email protected] PERRY
County: RockJANESVILLE, WI 5354817 S RIVER STREET #254
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 10/01/2019 09/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier10/01/2019 09/30/2021CROSSROADS COUNSELING CENTER, 722-728 LOIS DRIVE, SUN PRAIRIE, WI 535901
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Mental Health Program Directory By County, City, and Provider Name
RUSKLADYSMITH
2948ACCESS, INC COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/06/2011
(715) 532-9774
(715) [email protected] WOLF
County: RuskLADYSMITH, WI 54848108 W 2ND STREET N
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 09/01/2019 08/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 09/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
2691RUSK COUNTY HEALTH & HUMAN SERVICES/ACCESS, INC.
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/16/2006
(715) 532-2126
(715) [email protected] JACOBS
County: RuskLADYSMITH, WI 54848311 E MINER AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SAINT CROIXBALDWIN
2946WESTERN WISCONSIN HEALTH - BEHAVIORAL HEALTH SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/20/2011
(715) 684-1524
(715) [email protected] BABBITT
County: Saint CroixBALDWIN, WI 540021100 BERGSLIEN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020BALDWIN - WOODVILLE HIGH SCHOOL, 1000 13TH AVENUE, BALDWIN, WI 540023
07/01/2018 06/30/2020GREENFIELD ELEMENTARY SCHOOL, 1160 14TH AVENUE, BALDWIN, WI 540023
07/01/2018 06/30/2020VIKING MIDDLE SCHOOL, 500 SOUTHSIDE DRIVE, WOODVILLE, WI 540283
HUDSON
1173HUDSON HOSPITAL & CLINICS, PROGRAMS FOR CHANGE
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201909/01/1990
(715) 531-6766
(715) [email protected] BARTLETT
County: Saint CroixHUDSON, WI 54016405 STAGELINE ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021HUDSON HOSPITAL AND CLINIC, 411 STAGELINE ROAD, HUDSON, WI 540161
2859MARRIAGE AND FAMILY HEALTH SERVICES, LTD.
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/2009
(715) 381-5438
(715) [email protected] SCHULZ-JOHNSTON
County: Saint CroixHUDSON, WI 540162910 ENLOE STREET UNIT 4
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
NEW RICHMOND
3073FAMILY THERAPY ASSOCIATES LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/04/2014
(715) 254-9459
(715) [email protected] MASON
County: Saint CroixNEW RICHMOND, WI 54017150 W FIRST ST SUITE 270
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021FAMILY THERAPY ASSOC, 250 S WASHINGTON ST, ST CROIX FALLS, WI 540242
12/01/2019 11/30/2021FAMILY THERAPY ASSOC, 3610 OAKWOOD MALL DR #204, EAU CLAIRE, WI 547012
12/01/2019 11/30/2021FAMILY THERAPY ASSOC, 700 WOLSKE BAY RD #140, MENOMONIE, WI 547512
Setting Begin/End DatesNon-Certified School Setting(s)12/01/2019 11/30/2021ALTOONA SCHOOL DISTRICT, 1930 BARTLETT AVE, ALTOONA, WI 54720
12/01/2019 11/30/2021BLOOMER SCHOOL DISTRICT, 1310 17TH AVE, BLOOMER, WI 54724
12/01/2019 11/30/2021BRUCE ELEM, MIDDLE, & HIGH SCHOOL, 104 W WASHINGTON AVE, BRUCE, WI 54819
12/01/2019 11/30/2021CAMERON SCHOOL DISTRICT, 600 WISCONSIN AVE, CAMERON, WI 54822
12/01/2019 11/30/2021COLFAX ELEM, MIDDLE, & HIGH SCHOOL, 601 UNIVERSITY AVE, COLFAX, WI 54730
12/01/2019 11/30/2021ELEVA-STRUM PUBLIC SCHOOL, W23597 US HIGHWAY 10, STRUM, WI 54770
12/01/2019 11/30/2021HUDSON SCHOOL DISTRICT, 644 BRAKKE DR, HUDSON, WI 54016
12/01/2019 11/30/2021LUCK ELEM, MIDDLE, & HIGH SCHOOL, 810 S 7TH ST, LUCK, WI 54853
12/01/2019 11/30/2021MENOMONIE SCHOOL DISTRICT, 2115 PINE AVE NE, MENOMONIE, WI 54751
12/01/2019 11/30/2021MONDOVI SCHOOL DISTRICT, 337 N JACKSON ST, MONDOVI, WI 54755
12/01/2019 11/30/2021OSCEOLA SCHOOLS, 331 MIDDLE SCHOOL DR, OSCEOLA, WI 54020
12/01/2019 11/30/2021OSSEO-FAIRCHILD, 50851 E ST, OSSEO, WI 54758
12/01/2019 11/30/2021SOMERSET SCHOOL DISTRICT, 625 SUNRISE DR, PO BOX 100, SOMERSET, WI 54025
12/01/2019 11/30/2021ST CROIX FALLS ELEMENTARY SCHOOL, 651 E LOUISIANA, ST CROIX FALLS, WI 54024
12/01/2019 11/30/2021ST CROIX FALLS MIDDLE & HIGH SCHOOL, 740 MAPLE DR, ST CROIX FALLS, WI 54024
12/01/2019 11/30/2021UNITY ELEMENTARY SCHOOL, 1908 150TH ST HIGHWAY 46N, BALSAM LAKE, WI 54810
12/01/2019 11/30/2021UNITY SCHOOL DISTRICT, 1908 150TH ST HIGHWAY 46 N, BALSAM LAKE, WI 54810
3110ST. CROIX COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES - CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/01/2016
(715) 246-8284
(715) [email protected] KIRT
County: Saint CroixNEW RICHMOND, WI 540171752 DORSET LANE
CCS Affiliaton: 01/01/2019Begin: End: Lead:BESt CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2018 03/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 04/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1856ST. CROIX COUNTY HEALTH & HUMAN SERVICES - BEHAVIORAL HEALTH
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201801/01/1990
(715) 246-8284
(715) [email protected] HUSTON
County: Saint CroixNEW RICHMOND, WI 540171752 DORSET LANE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/01/2018 11/30/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 12/01/2018
11/29/2019
Services
NO BRANCH LOCATIONS
1855ST. CROIX COUNTY HEALTH & HUMAN SERVICES BEHAVIORAL HEALTH
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201810/01/1975
(715) 246-8284
(715) [email protected] KIRT
County: Saint CroixNEW RICHMOND, WI 540171752 DORSET LANE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 12/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 12/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 12/01/2018 11/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 12/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
3161WESTFIELDS HOSPITAL AND CLINIC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201912/01/2016
(715) 243-2901
(715) [email protected] BARTLETT
County: Saint CroixNEW RICHMOND, WI 54017535 HOSPITAL ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021AMERY HOSPITAL AND CLINIC, 265 GRIFFIN ST E, AMERY, WI 540011
12/01/2019 11/30/2021FREDERIC CLINIC, 201 OAK ST W, FREDERIC, WI 548371
12/01/2019 11/30/2021HUDSON HOSPITAL AND CLINIC, 405 STAGELINE RD, HUDSON, WI 540161
12/01/2019 11/30/2021OSCEOLA MEDICAL CENTER, 2600 65TH AVE, OSCEOLA, WI 540201
12/01/2019 11/30/2021ST CROIX REGIONAL MEDICAL CENTER, 235 E STATE ST, ST CROIX FALLS, WI 540241
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Mental Health Program Directory By County, City, and Provider Name
SAINT LOUISDULUTH
1628ESSENTIA HEALTH DULUTH DBA SMDC MEDICAL CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201809/01/1987
(218) 786-5922
(218) 727-8762diane.holliday-welsh@essentiahealtDIANE HOLLIDAY-WELSH
County: Saint LouisDULUTH, MN 55805502 EAST SECOND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 12/01/2018 11/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
2083ESSENTIA HEALTH DULUTH DBA SMDC MEDICAL CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201810/01/1998
(218) 786-2105
(218) [email protected] GERTSEMA
County: Saint LouisDULUTH, MN 55811615 PECAN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1423HUMAN DEVELOPMENT CENTER MENTAL HEALTH CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201812/01/1982
(715) 392-6055
(715) 392-8216
HANNAH WATERMAN
County: Saint LouisDULUTH, MN 558051401 E 1ST STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020HUMAN DEVELOPMENT CENTER, 1406 EAST 2ND STREET, DULUTH, MN 558051
07/01/2018 06/30/2020HUMAN DEVELOPMENT CENTER, 325 11TH AVENUE, TWO HARBORS, MN 556161
3023SMDC MEDICAL CENTER DBA ESSENTIA HEALTH DULUTH
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202202/01/202002/25/2014
(218) 722-0373
(218) 786-5990Diane.Holliday-Welsh@EssentiaheaDIANE HOLLIDAY-WELSH
County: Saint LouisDULUTH, MN 55805330 EAST 2ND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT DHS 61.75 02/01/2020 01/31/2022
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2999SMDC MEDICAL CENTER DBA ESSENTIA HEALTH DULUTH CLINIC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/06/2013
(218) 722-0373
(218) 786-1186Diane.Holliday-Welsh@essentiaheaDIANE HOLLIDAY-WELSH
County: Saint LouisDULUTH, MN 55805502 EAST 2ND STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier06/19/2018 02/29/2020ESSENTIA HLTH DULUTH AMBERWING, 615 PECAN AVE, DULUTH, MN 558111
03/01/2018 02/29/2020ESSENTIA HLTH HERMANTOWN, 4855 W ARROWHEAD RD, HERMANTOWN, MN 558111
03/01/2018 02/29/2020ESSENTIA HLTH ST MARY'S HOSP & CLINIC SUPERIOR, 3500 TOWER AVENUE, SUPERIOR, WI 548801
12/03/2018 02/29/2020THE DULUTH CLINIC DBA ESSENTIA HLTH ASHLAND CLINIC, 1615 MAPLE LN STE 1, ASHLAND, WI 54806
1
1865ST. LUKE'S HOSPITAL
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/1995
(218) 249-2457
(218) [email protected] JANSON
County: Saint LouisDULUTH, MN 55805915 E. FIRST STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-INPATIENT DHS 61.71 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SAUKBARABOO
1436INNERVISIONS COUNSELING AND CONSULTING CENTER, SC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/19/2007
(877) 560-0578
(608) [email protected] JAMES
County: SaukBARABOO, WI 53913840 STATE ROAD 136, SUITE 1
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020DELTON FAMILY MEDICAL CENTER, 28 COMMERCE ST, WISCONSIN DELLS, WI 539651
11/01/2018 10/31/2020INNERVISIONS COUNSELING & CONSULTING CENTER, 231 EAST STATE ST, MAUSTON, WI 539481
11/01/2018 10/31/2020NEW LISBON FAMILY MEDICAL CENTER, 901 WEST BRIDGE STREET, NEW LISBON, WI 539501
11/01/2018 10/31/2020INNERVISIONS COUNSELING & CONSULTING CENTER, 129 EAST BRIDGE STREET, NEW LISBON, WI 53950
2
11/01/2018 10/31/2020MILE BLUFF CLINIC, 1040 DIVISION ST., MAUSTON, WI 539482
11/01/2018 10/31/2020JACK YOUNG MIDDLE SCHOOL, 1531 DRAPER ST, BARABOO, WI 539133
11/01/2018 10/31/2020NECEDAH MIDDLE/HIGH SCHOOL, 1801 S MAIN STREET, NECEDAH, WI 546463
11/02/2018 10/31/2020NEW LISBON MIDDLE/HIGH SCHOOL, 500 S FOREST ST, NEW LISBON, WI 539503
11/01/2018 10/31/2020OLSON MIDDLE SCHOOL, 508 GRAYSIDE AVENUE, MAUSTON, WI 539483
11/01/2018 10/31/2020WEBB MIDDLE SCHOOL, 501 K ST, REEDSBURG, WI 539593
02/22/2019 10/31/2020WONEWOC-CENTER SCHOOL, 101 SCHOOL RD, WONEWOC, WI 539683
2713SAUK COUNTY DEPARTMENT OF HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/2007
(608) 355-4299
(608) [email protected] ELLINWOOD
County: SaukBARABOO, WI 53913505 BROADWAY ST
CCS Affiliaton: 07/01/2014Begin: End: Lead:Wisconsin River CCS Collaboration
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2019 02/28/2021
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021SAUK COUNTY DEPT HUMAN SERVICES REEDSBURG, 425 - 6TH STREET, REEDSBURG, WI 539591
1824SAUK COUNTY DEPARMENT OF HUMAN SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/1988
(608) 355-4299
(608) [email protected] MIJAL
County: SaukBARABOO, WI 53913505 BROADWAY STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 01/01/2020 12/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021SAUK COUNTY DHS - REEDSBURG OFFICE, 425 SIXTH STREET, REEDSBURG, WI 539591
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Mental Health Program Directory By County, City, and Provider Name
3127TELLURIAN OUTPATIENT SERVICES
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/201906/01/201706/01/2016
(608) 222-6694
(608) [email protected] CROOKS
County: SaukBARABOO, WI 53913414 BROADWAY ST SUITE 101
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 11/01/2017 05/31/2019
CSAS-INTERVENTION DHS 75.16 06/01/2017 05/31/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 06/01/2017 05/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2017 05/31/2019
Services
NO BRANCH LOCATIONS
PRAIRIE DU SAC
3138PATHWAY TO WELLNESS COMMUNITY CLINIC, LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201907/01/2016
(608) 370-8177
(608) [email protected] KIRCH
County: SaukPRAIRIE DU SAC, WI 53578560 4TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)07/01/2019 06/30/2021BRIDGES ELEMENTARY SCHOOL, 1200 BROADWAY ST, PRAIRIE DU SAC, WI 53578
07/01/2019 06/30/2021GRAND AVENUE ELEMENTARY, 225 GRAND AVE, PRAIRIE DU SAC, WI 53578
07/01/2019 06/30/2021SAUK PRAIRIE HIGH SCHOOL, 105 NINTH ST, PRAIRIE DU SAC, WI 53578
REEDSBURG
2774GOODMAN'S BEHAVIORAL HEALTH CLINIC LLC
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/06/2008
(608) 768-4646
(608) [email protected] GOODMAN
County: SaukREEDSBURG, WI 539592213 E MAIN STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
1823SAUK COUNTY DEPARTMENT OF HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Tina Dary
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/1990
(608) 524-7980
(608) [email protected] CIBULKA
County: SaukREEDSBURG, WI 53959425 SIXTH STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SAWYERHAYWARD
1486LAC COURTE ORIELLES BEHAVIORAL HEALTH
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201903/01/1987
(715) 634-6107
(715) [email protected] BERGUM
County: SawyerHAYWARD, WI 5484313447 W COUNTY HWY B STE 1
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
3160LCO CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201905/01/2017
(715) 558-7821
(715) [email protected] BERGUM
County: SawyerHAYWARD, WI 5484313447 W COUNTY RD B, STE 2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2330NORTHLAND COMMUNITY SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201802/01/2001
(715) 634-2533
(715) [email protected] LUND
County: SawyerHAYWARD, WI 5484310270 OLKER ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
2213NORTHLAND COUNSELING SERVICES LTD
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201804/03/2000
(715) 634-1722
(715) [email protected] LUND
County: SawyerHAYWARD, WI 5484310752 BEAL STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3049NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - HAYWARD
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/16/2014
(175) 699-1243
(715) [email protected] MAURER
County: SawyerHAYWARD, WI 5484316092 US HIGHWAY 63
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 09/01/2019 08/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
09/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
1825SAWYER COUNTY HEALTH & HUMAN SERVICES/INFORMATION & REFERRAL CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201804/01/1979
(715) 634-3580
(715) [email protected] CARLSON
County: SawyerHAYWARD, WI 5484310610 MAIN ST SUITE 224
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
CSAS-PREVENTION DHS 75.04 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020TRANSITION HOUSE, 16208 WOOD RIDGE LANE, HAYWARD, WI 548431
2998SAWYER COUNTY HUMAN SERVICES/NORTHLAND COUNSELING SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/01/2013
(715) 634-5019
(715) [email protected] G. GRAHOVAC
County: SawyerHAYWARD, WI 5484310270 OLKER ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SHAWANOBOWLER
1882STOCKBRIDGE-MUNSEE HEALTH AND WELLNESS CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201806/19/2014
(715) 793-1312
(715) [email protected] TORRES
County: ShawanoBOWLER, WI 54416W12802 COUNTY HWY A
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
NO BRANCH LOCATIONS
GRESHAM
1554MAEHNOWESEKIYAH WELLNESS CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201911/21/1989
(715) 799-5056
(715) [email protected] ANN DICK
County: ShawanoGRESHAM, WI 54128N2150 KESAEHKAHTEK
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 12/01/2019 11/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
CSAS-PREVENTION DHS 75.04 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
SHAWANO
1831SHAWANO COUNTY DEPARTMENT OF HUMAN SERVICES - LAKELAND CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202010/09/201903/01/1977
(715) 526-5542
(715) [email protected] FROST
County: ShawanoSHAWANO, WI 54166W7327 ANDERSON AVE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 10/09/2019 12/31/2020
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 10/09/2019 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/09/2019 12/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 10/09/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/09/2019 12/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/09/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 10/09/2019 12/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 10/09/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2863SHAWANO COUNTY DEPARTMENT OF HUMAN SERVICES - LAKELAND CENTER CCS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202110/09/201905/06/2014
(715) 526-5542
(715) [email protected] THOUSAND
County: ShawanoSHAWANO, WI 54166W7327 ANDERSON AVE
CCS Affiliaton: 12/01/2014Begin: End: Lead:Lakeshore Recovery Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 10/09/2019 06/30/2021
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 10/09/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2242SHAWANO COUNTY DEPARTMENT OF HUMAN SERVICES - LAKELAND CENTER CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202010/09/201901/01/2000
(715) 526-5542
(715) [email protected] VAN ERT
County: ShawanoSHAWANO, WI 54166W7327 ANDERSON AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 10/09/2019 12/31/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 10/09/2019
12/01/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SHEBOYGANSHEBOYGAN
1925AURORA SHEBOYGAN CLINIC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202008/01/201807/01/1986
(920) 459-1483
(920) [email protected] LEE-JOHNSON
County: SheboyganSHEBOYGAN, WI 530812414 KOHLER MEMORIAL DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 08/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 08/13/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/13/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 06/30/2020AURORA HEALTH CENTER KIEL, 1001 SERVICE ROAD, KIEL, WI 530421
08/01/2018 06/30/2020AURORA HEALTH CENTER, 1815 ASHLAND AVE, SHEBOYGAN, WI 530812
08/01/2018 06/30/2020AURORA SHEBOYGAN CLINIC, 2600 KILEY WAY, PLYMOUTH, WI 530732
1835AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201805/01/1987
(920) 451-5123
(920) [email protected] KNITT
County: SheboyganSHEBOYGAN, WI 530832629 N 7TH STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 05/01/2018 04/30/2020
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 05/01/2018 04/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
3171AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER-AURORA BEHAVIORAL HEALTH CENTER
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201812/26/2016
(920) 453-3901
(920) [email protected] KUHN
County: SheboyganSHEBOYGAN, WI 530811221 N 26TH STREET
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 05/01/2018 04/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
1133CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE, INC.
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201904/01/1983
(920) 458-5826
(920) [email protected] BIBO
County: SheboyganSHEBOYGAN, WI 53081503 WISCONSIN AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 04/30/2021CATHOLIC CHARITIES ARCHDIOCESE OF MILW INC, 191 S MAIN STREET, FOND DU LAC, WI 549351
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Mental Health Program Directory By County, City, and Provider Name
3214COMMUNITY CONSULTANTS, INC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/201906/01/201806/01/2018
(920) 351-4971
(920) 447-4545jamessimac@communityconsultantsJAMES SIMAC
County: SheboyganSHEBOYGAN, WI 530811504 NEW JERSEY AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2019
Services
NO BRANCH LOCATIONS
2869LEPAK JOSTSONS INC DBA DYNAMIC FAMILY SOLUTIONS
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201808/19/2009
(920) 358-5970
(920) [email protected] A LEPAK JOSTSONS
County: SheboyganSHEBOYGAN, WI 53081615 SOUTH 8TH ST SUITE 220
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2019
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2018 08/31/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2018 08/31/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2020DYNAMIC FAMILY SOLUTIONS STURGEON BAY, 101 N 4TH AVE, STURGEON BAY, WI 542351
09/01/2019 08/31/2020DYNAMIC FAMILY SOLUTIONS, 3021 HOLMGREN WAY, GREEN BAY, WI 543051
09/01/2019 08/31/2020DYNAMIC FAMILY SOLUTIONS, ONE WALDO BLVD, STE 3, MANITOWOC, WI 542201
1656NETT-WORK FAMILY COUNSELING, LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201802/27/1998
(920) 458-6439
(920) [email protected] M. NETT
County: SheboyganSHEBOYGAN, WI 530832801 CALUMET DRIVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020NETT-WORK FAMILY COUNSELING LLC, 1011 - 10TH STREET #1, MANITOWOC, WI 542201
03/01/2018 02/29/2020NETT-WORK FAMILY COUNSELING LLC, 1403 MILWAUKEE DR, NEW HOLSTEIN, WI 530611
03/01/2018 02/29/2020NETT-WORK FAMILY COUNSELING LLC, 621 E MILL ST, PLYMOUTH, WI 530731
03/01/2018 02/29/2020NETT-WORK FAMILY COUNSELING, LLC, 3321 SOUTH 12TH ST, SHEBOYGAN, WI 530812
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Mental Health Program Directory By County, City, and Provider Name
1699NORTHSHORE CLINIC LLC
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201808/01/1991
(920) 457-8867
(920) [email protected] DIELENTHEIS
County: SheboyganSHEBOYGAN, WI 53081805 NORTH 6TH STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Setting Begin/End DatesNon-Certified School Setting(s)03/01/2018 02/29/2020JEFFERSON ELEMENTARY SCHOOL, 1538 N 15TH ST, SHEBOYGAN, WI 53081
01/15/2019 02/29/2020LONGFELLOW ELEMENTARY SCHOOL, 819 KENTUCKY AVE, SHEBOYGAN, WI 53081
3194SHEBOYGAN CO HEALTH AND HUMAN SERVICES CSP
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201901/29/2018
(920) 459-4353
(920) [email protected] KREPSKY
County: SheboyganSHEBOYGAN, WI 530811011 N 8TH ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 02/01/2019 01/31/2021
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 02/01/2019
11/29/2019
Services
NO BRANCH LOCATIONS
1834SHEBOYGAN COUNTY DEPT OF HEALTH AND HUMAN SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201807/01/1986
(920) 459-4353
(920) 459-3207jaclyn.moglowsky@sheboygancounJACKIE MOGLOWSKY
County: SheboyganSHEBOYGAN, WI 530811011 N 8TH STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 10/01/2018 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 10/01/2018 09/30/2020
Services
NO BRANCH LOCATIONS
2667SHEBOYGAN COUNTY HEALTH & HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201805/01/2006
(920) 459-4353
(920) [email protected] KREPSKY
County: SheboyganSHEBOYGAN, WI 530811011 N 8TH STREET
CCS Affiliaton: 01/01/2015Begin: End: Lead:Lakeshore Recovery Collaborative
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 06/01/2018 05/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 07/10/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3070ST. NICHOLAS HOSPITAL DBA PREVEA HEALTH
Surveyor: Renee DeWitt
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201910/27/2014
(920) 272-1201
(920) [email protected] TUTSKEY
County: SheboyganSHEBOYGAN, WI 530813425 SUPERIOR AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2019 11/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 11/30/2021PREVEA HEALTH KOHLER, 950 WOODLAKE RD, KOHLER, WI 530441
12/01/2019 11/30/2021VOLLRATH HEALTH AND WELLNESS CLINIC, 1236 N 18TH ST, SHEBOYGAN, WI 530811
12/01/2019 11/30/2021PREVEA PLYMOUTH HEALTH CENTER, 825 WALTON DR, PLYMOUTH, WI 530732
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Mental Health Program Directory By County, City, and Provider Name
TAYLORMEDFORD
1577ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201901/01/1978
(715) 442-7731
(715) [email protected] WILLIAMS
County: TaylorMEDFORD, WI 54451143 SOUTH GIBSON ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021ASPIRUS PHILLIPS CLINIC, 625 PETERSON AVE, PHILLIPS, WI 545551
09/01/2019 08/31/2021ASPIRUS PRENTICE CLINIC, 1511 RAILROAD AVE, PRENTICE, WI 545561
2753COUNSELING CONNECTION OF MEDFORD, LLC
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/2007
(715) 748-4407
(715) [email protected] SCHULTZ
County: TaylorMEDFORD, WI 54451429 W BROADWAY AVE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021PHOENIX HOUSE, 600 W HICKORY ST, GILMAN, WI 544331
09/01/2019 08/31/2021MEDFORD ADULT DIPLOMA ACADEMY & ALT ED PROGRAM, 624 E COLLEGE ST, MEDFORD, WI 54451
3
09/01/2019 08/31/2021MEDFORD ELEMENTARY SCHOOL-COUNSELING CONNECTION, 1065 W BROADWAY AVE, MEDFORD, WI 54451
3
09/01/2019 08/31/2021MEDFORD HIGH SCHOOL-COUNSELING CONNECTION, 1015 W BROADWAY AVE, MEDFORD, WI 54451
3
09/01/2019 08/31/2021MEDFORD MIDDLE SCHOOL-COUNSELING CONNECTION, 509 CLARK ST, MEDFORD, WI 544513
10/01/2019 08/31/2021RIB LAKE ELEMENTARY SCHOOL, 1236 KENNEDY ST, RIB LAKE, WI 544703
10/01/2019 08/31/2021RIB LAKE MIDDLE SCHOOL, 1296 NORTH ST, RIB LAKE, WI 544703
09/01/2019 08/31/2021STETSONVILLE ELEMENTARY SCHOOL, W5338 COUNTY RD A, STETSONVILLE, WI 544803
3193NORTH CENTRAL REGION CCS PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2018
(715) 748-3342
(715) [email protected] KETELHUT
County: TaylorMEDFORD, WI 54451540 E COLLEGE STREET
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021IRON COUNTY HUMAN SERVICES & ASSOC, 300 TACONITE STREET, STE 201, HURLEY, WI 545341
01/01/2020 12/31/2021PRICE COUNTY HEALTH AND HUMAN SVS, 104 SOUTH EYDER, PHILLIPS, WI 545551
01/01/2020 12/31/2021SAWYER COUNTY HEALTH AND HUMAN SVS, 10610 MAIN STREET, STE 224, HAYWARD, WI 548431
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Mental Health Program Directory By County, City, and Provider Name
1898TAYLOR COUNTY HUMAN SERVICES DEPARTMENT
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201806/01/1982
(715) 748-3342
(715) [email protected] MEYER
County: TaylorMEDFORD, WI 54451540 E. COLLEGE STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 07/01/2018 06/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 07/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
TREMPEALEAUWHITEHALL
3170TREMPEALEAU COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201903/01/2017
(715) 538-4274
(715) [email protected] SUCHLA
County: TrempealeauWHITEHALL, WI 5477336245 MAIN STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 03/01/2019 02/29/2020
Services
NO BRANCH LOCATIONS
3094TREMPEALEAU COUNTY HUMAN SERVICES - CCS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/2015
(715) 538-4174
(715) [email protected] SUCHLA
County: TrempealeauWHITEHALL, WI 5477336245 MAIN ST
CCS Affiliaton: 09/01/2015Begin: End: Lead:CCS of Clark and Trempealeau Counties
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
2543WEST CENTRAL WISCONSIN BEHAVIORAL HEALTH CLINIC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202110/07/201909/03/2004
(715) 538-9496
(715) [email protected] PYKA
County: TrempealeauWHITEHALL, WI 54773N36647 COUNTY ROAD QQQ
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/07/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 10/07/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/07/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/07/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
VERNONHILLSBORO
3145GUNDERSEN ST JOSEPH'S HOSPITAL & CLINICS-HILLSBORO CLINIC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201808/26/2016
(608) 489-8181
(608) [email protected] MCCOIC
County: VernonHILLSBORO, WI 54634400 WATER AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2018 08/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2018 08/31/2020GUNDERSEN ST JOSEPH'S HOSP & CLINICS-ELROY, 1705 OMAHA, ELROY, WI 539291
09/01/2018 08/31/2020GUNDERSEN ST JOSEPH'S HOSP & CLINICS-WONEWOC, 301 RAILROAD ST, WONEWOC, WI 539681
VIROQUA
1317FAMILY AND CHILDREN'S CENTER, INC. COMMUNITY SUPPORT PROGRAM
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201901/01/1996
(608) 637-8500
(608) [email protected] HOWE
County: VernonVIROQUA, WI 546651321 N MAIN ST
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
3092STRIVE COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/01/2015
(608) 637-5505
(608) [email protected] EITLAND
County: VernonVIROQUA, WI 54665318 FAIRLANE DRIVE SUITE 100
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL MULTI-COUNTY DHS 36 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020CRAWFORD CO DEPT. OF HUMAN SERVICES, 225 N. BEAUMONT RD SUITE 326, PRAIRIE DU CHIEN,
WI 538212
WESTBY
2565HIDDEN SPRINGS CLINIC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201812/09/2004
(608) 634-6918
(608) [email protected] JENSEN
County: VernonWESTBY, WI 54667S 1597 HANSON ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
VILASLAC DU FLAMBEAU
1325FAMILY RESOURCE CENTER
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/1988
(715) 588-3903
(715) [email protected] STEBER
County: VilasLAC DU FLAMBEAU, WI 54538533 PEACE PIPE ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 09/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021DOMESTIC ABUSE PROGRAM, 157 CEDAR AVE, LAC DU FLAMBEAU, WI 545381
09/16/2019 08/31/2021ARBOR VITAE-WOODRUFF ELEMENTARY, 11065 OLD HWY 51 N, ARBOR VITAE, WI 545683
09/01/2019 08/31/2021LAC DU FLAMBEAU PUBLIC SCHOOL, 2899 HIGHWAY 47, LAC DU FLAMBEAU, WI 545383
09/01/2019 08/31/2021LAKELAND UNION HIGH SCHOOL, 9573 STATE HIGHWAY 70, MINOCQUA, WI 545483
3100GOOKOMIS ENDAAD
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201901/19/2016
(715) 588-1889
(715) [email protected] THOMPSON
County: VilasLAC DU FLAMBEAU, WI 545383378 N SCHILLEMAN RD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
CSAS-TRANSITIONAL RESIDENTIAL DHS 75.14 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
3071LAC DU FLAMBEAU HEALTH & HUMAN SERVICES CCS
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202202/01/202002/01/2015
(715) 588-3903
(715) [email protected] BUESING
County: VilasLAC DU FLAMBEAU, WI 54538533 PEACE PIPE ROAD
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 02/01/2020 01/31/2022
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WALWORTHDELAVAN
3200LAKESIDE COUNSELING CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/17/2018
(262) 757-7543
(262) [email protected] LINDSKOG
County: WalworthDELAVAN, WI 531151624 HOBBS DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
ELKHORN
1262CREDENCE THERAPY ASSOCIATES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/19/1995
(262) 723-8308
(262) [email protected] STEEN
County: WalworthELKHORN, WI 531211-1/2 W. GENEVA STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020BADGER HIGH SCHOOL, 220 E. SOUTH STREET, LAKE GENEVA, WI 531473
12/01/2018 11/30/2020BIG FOOT HIGH SCHOOL, 401 DEVILS LANE PO BOX 89, WALWORTH, WI 531843
12/01/2018 11/30/2020CENTRAL-DENISON ELEMENTARY, 900 WISCONSIN ST, LAKE GENEVA, WI 531473
12/01/2018 11/30/2020EASTVIEW ELEMENTARY, 535 SAGE ST, LAKE GENEVA, WI 531473
12/01/2018 11/30/2020ELKHORN AREA HIGH SCHOOL, 482 EAST GENEVA STREET, ELKHORN, WI 531213
12/01/2018 11/30/2020ELKHORN AREA MIDDLE SCHOOL, 627 EAST COURT ST., ELKHORN, WI 531213
12/01/2018 11/30/2020JACKSON ELEMENTARY SCHOOL, 13 NORTH JACKSON STREET, ELKHORN, WI 531213
12/01/2018 11/30/2020LAKE GENEVA MIDDLE SCHOOL, 600 BLOOMFIELD ROAD, LAKE GENEVA, WI 531473
12/01/2018 11/30/2020TIBBETS ELEMENTARY SCHOOL, W5218 COUNTY ROAD A, ELKHORN, WI 531213
12/01/2018 11/30/2020WEST SIDE ELEMENTARY SCHOOL, 222 SUNSET DRIVE, ELKHORN, WI 531213
2694WALWORTH COUNTY DEPT OF HEALTH & HUMAN SERVICES COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/09/201911/08/2006
(262) 741-3217
(262) [email protected] ALDRED
County: WalworthELKHORN, WI 531211910 COUNTY ROAD NN
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 12/09/2019 11/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2889WALWORTH COUNTY DHHS COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202112/09/201901/20/2010
(262) 741-3217
(262) [email protected] BROLL
County: WalworthELKHORN, WI 531211910 COUNTY ROAD NN
CCS Affiliaton: 08/01/2014Begin: End: Lead:JRW Tri County Regional CCS
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 12/09/2019 01/31/2021
Services
NO BRANCH LOCATIONS
1967WALWORTH COUNTY HEALTH AND HUMAN SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202012/09/201910/01/1975
(262) 741-3217
(262) [email protected] HEINRICH
County: WalworthELKHORN, WI 531211910 COUNTY ROAD NN
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 12/09/2019 08/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/09/2019 08/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 12/09/2019 08/31/2020
Services
NO BRANCH LOCATIONS
LAKE GENEVA
2517AURORA MEDICAL GROUP BEHAVIORAL HEALTH SERVICES - LAKE GENEVA
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201902/01/2004
(262) 249-7132
(414) [email protected] VALENTIN
County: WalworthLAKE GENEVA, WI 53147146 E GENEVA SQUARE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2019 01/31/2021AURORA HEALTH CENTER - WALWORTH, 525 KENOSHA ST, WALWORTH, WI 531841
02/01/2019 01/31/2021AURORA HEALTH CENTER - DELAVAN, 1550 HOBBS DR, DELAVAN, WI 531152
02/01/2019 01/31/2021AURORA HEALTH CENTER - ELKHORN, 201 E MORRISEY DR, ELKHORN, WI 531212
1492LAKE GENEVA WELLNESS CLINIC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201902/01/1984
(262) 248-1202
(262) [email protected] ARMSTRONG
County: WalworthLAKE GENEVA, WI 53147101 BROAD STREET, #201
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)04/01/2019 03/31/2021WHEATLAND CENTER SCHOOL, 6606 368TH AVE, BURLINGTON, WI 53105
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Mental Health Program Directory By County, City, and Provider Name
WASHBURNSHELL LAKE
2506SOAR SERVICES, INC.
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202004/01/201803/11/2004
(715) 468-2374
(715) [email protected] MELTON
County: WashburnSHELL LAKE, WI 54871246 INDUSTRIAL BLVD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2018 03/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier09/10/2018 03/31/2020SOAR SERVICES, INC, 24670 STATE ROAD 35/70, STE 700, SIREN, WI 548722
07/18/2019 03/31/2020SOAR SERVICES, INC, 370 3RD AVE SO, PARK FALLS, WI 545522
04/01/2018 03/31/2020SOAR SERVICES, INC, 517 BEASER AVENUE, ASHLAND, WI 548062
Setting Begin/End DatesNon-Certified School Setting(s)04/01/2018 03/31/2020ASHLAND SCHOOLS, 2000 BEASER AVE, ASHLAND, WI 54806
04/01/2018 03/31/2020BARRON SCHOOL, 100 WEST RIVER AVE, BARRON, WI 54812
04/01/2018 03/31/2020BIRCHWOOD SCHOOL, 300 S. WILSON ST, BIRCHWOOD, WI 54817
04/01/2018 03/31/2020CHEQUAMAGON SCHOOL, 420 9TH ST NORTH, EISENSTEIN, WI 54552
04/01/2018 03/31/2020SHELL LAKE SCHOOLS, 271 HWY 63, SHELL LAKE, WI 54871
04/01/2018 03/31/2020SPOONER SCHOOLS, 801 CO. HWY A, SPOONER, WI 54801
2926WASHBURN COUNTY COMMUNITY SUPPORT PROGRAM
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2010
(715) 468-1588
(715) [email protected] SCHRANKEL
County: WashburnSHELL LAKE, WI 54871600 E COUNTY ROAD B
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
SPOONER
2631ACCESS, INC.
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2006
(715) 635-4861
(715) [email protected] WOLF
County: WashburnSPOONER, WI 548014851 HWY 63 SOUTH
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021ACCESS, INC DBA AURORA COMMUNITY COUNSELING, 1302 ARLEN CT, EAU CLAIRE, WI 547031
01/01/2020 12/31/2021ACCESS, INC DBA AURORA COMMUNITY COUNSELING, 406 TECHNOLOGY DR. E SIUITE C, MENOMONIE, WI 54751
1
01/01/2020 12/31/2021AURORA COMMUNITY COUNSELING- PHILLIPS, 171 CHESTNUT ST., PHILLIPS, WI 545551
01/01/2020 12/31/2021ACCESS, INC - LADYSMITH, 108 W. 2ND STREET N, LADYSMITH, WI 548482
01/01/2020 12/31/2021ACCESS, INC. - SIREN, 24248 STATE HWY 35/70, UNIT D, SIREN, WI 548722
01/01/2020 12/31/2021ACCESS, INC. DBA AURORA COMMUNITY COUNSELING, 345 FRENETTE DR STE 3, CHIPPEWA FALLS, WI 54729
2
01/01/2020 12/31/2021CADOTT MIDDLE SCHOOL AND HIGH SCHOOL, 426 MYRTLE ST, CADOTT, WI 547273
01/01/2020 12/31/2021FLAMBEAU HIGH SCHOOL, N 4540 COUNTY HIGHWAY I, TONY, WI 545633
01/01/2020 12/31/2021GRANTSBURG SCHOOL, 480 E JAMES AVE, GRANTSBURG, WI 548403
01/01/2020 12/31/2021LADYSMITH ELEMENTARY SCHOOL, 115 E 6TH ST S, LADYSMITH, WI 548483
01/01/2020 12/31/2021LADYSMITH MIDDLE/HIGH SCHOOL, 1700 EDGEWOOD AVE E, LADYSMITH, WI 548483
01/01/2020 12/31/2021SPOONER ELEMENTARY SCHOOL, 1821 SCRIBNER ST, SPOONER, WI 548013
01/01/2020 12/31/2021SPOONER HIGH SCHOOL, 801 COUNTY HIGHWAY A, SPOONER, WI 548013
01/01/2020 12/31/2021SPOONER MIDDLE SCHOOL, 750 OAK ST, SPOONER, WI 548013
3198WHOLE LIFE SERVICES
Surveyor: Rena Andersen
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201904/23/2018
(715) 645-0336
(715) [email protected] EHRICH
County: WashburnSPOONER, WI 54801819 ASH STREET STE SO2O
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 03/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier04/01/2019 03/31/2021WHOLE LIFE SERVICES, 7726 RASMUSSEN ST, SIREN, WI 548721
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Mental Health Program Directory By County, City, and Provider Name
WASHINGTONGERMANTOWN
1199WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC DBA CHRISTIAN FAMILY SOLUTIONS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/1987
(262) 345-5562
(800) [email protected] SEMMANN
County: WashingtonGERMANTOWN, WI 53022W175 N11120 STONEWOOD DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 12/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020WLCFS - CHRISTIAN FAMILY SOLUTIONS, 112 PEACE LUTHERAN PKWY, HARTFORD, WI 530271
12/01/2018 11/30/2020WLCFS - CHRISTIAN FAMILY SOLUTIONS, 9215 W WISCONSIN AVE, MILWAUKEE, WI 532261
12/01/2018 11/30/2020GARDEN HOMES LUTHERAN SCHOOL, 2450 W ROOSEVELT DR, MILWAUKEE, WI 532093
12/01/2018 11/30/2020HOPE CHRISTIAN SCHOOL - FIDELIS, 4200 DOUGLAS AVE, MILWAUKEE, WI 532093
12/01/2018 11/30/2020HOPE CHRISTIAN SCHOOL - FORTIS, 3601 N PORT WASHINGTON RD, MILWAUKEE, WI 532123
12/01/2018 11/30/2020HOPE CHRISTIAN SCHOOL - PRIMA, 2345 N 25TH ST, MILWAUKEE, WI 532063
12/01/2018 11/30/2020HOPE CHRISTIAN SCHOOL - SEMPER, 3040 W CAPITOL DR, MILWAUKEE, WI 532163
12/01/2018 11/30/2020KETTLE MORAINE LUTHERAN HIGH SCHOOL, 3399 DIVISION RD, JACKSON, WI 530373
12/01/2018 11/30/2020LUMIN - NORTHWEST LUTHERAN, 4119 N 81ST ST, MILWAUKEE, WI 532223
12/01/2018 11/30/2020LUMIN - ST MARTINI LUTHERAN SCHOOL, 1520 S CESAR CHAVEZ DR, MILWAUKEE, WI 532043
12/01/2018 11/30/2020MT LEBANON LUTHERAN SCHOOL - ALPHA, 6100 WEST HAMPTON AVE, MILWAUKEE, WI 532183
12/01/2018 11/30/2020MT LEBANON LUTHERAN SCHOOL - OMEGA, 8444 W MELVINA ST, MILWAUKEE, WI 532223
12/01/2018 11/30/2020RISEN SAVIOR LUTHERAN SCHOOL, 9550 W BROWN DEER RD, MILWAUKEE, WI 532243
12/01/2018 11/30/2020SHINING STAR CHRISTIAN SCHOOL - FAIRVIEW, 137 N 66TH ST, MILWAUKEE, WI 532133
12/01/2018 11/30/2020SHINING STAR CHRISTIAN SCHOOL - WEST CAPITOL, 4050 N 95TH ST, MILWAUKEE, WI 532223
12/01/2018 11/30/2020SHORELAND LUTHERAN HIGH SCHOOL, 9026 12TH STREET, SOMERS, WI 531713
12/01/2018 11/30/2020ST JOHN'S GLENDALE LUTHERAN SCHOOL, 7877 N PORT WASHINGTON RD, GLENDALE, WI 532173
12/01/2018 11/30/2020ST LUCAS LUTHERAN SCHOOL, 648 E DOVER ST, MILWAUKEE, WI 532073
12/01/2018 11/30/2020ST MARCUS LUTHERAN SCHOOL - MAIN, 2215 N PALMER ST, MILWAUKEE, WI 532123
12/01/2018 11/30/2020ST MARCUS LUTHERAN SCHOOL - NORTH, 2669 N RICHARDS ST, MILWAUKEE, WI 532123
12/01/2018 11/30/2020ST PHILIP LUTHERAN SCHOOL, 3012 N HOLTON ST, MILWAUKEE, WI 532123
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Mental Health Program Directory By County, City, and Provider Name
STILLWATER
1342FAMILYMEANS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201802/01/1989
(651) 439-4894
(651) [email protected] ROWLSON
County: WashingtonSTILLWATER, MN 550821875 NORTHWESTERN AVENUE, S.
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020FAMILYMEANS, 2217 VINE STREET #105, HUDSON, WI 540162
05/01/2018 04/30/2020HUDSON PHYSICIANS, 403 STAGELINE ROAD, HUDSON, WI 540162
05/01/2018 04/30/2020EP ROCK ELEMENTARY SCHOOL, 340 13TH ST. N, HUDSON, WI 540163
05/01/2018 04/30/2020HILLSIDE ELEMENTARY, 635 E RICHMOND WAY, NEW RICHMOND, WI 540173
05/01/2018 04/30/2020HUDSON MIDDLE SCHOOL, 1300 CARMICHAEL RD, HUDSON, WI 540163
05/01/2018 04/30/2020MALONE ELEMENTARY, 1220 ST CROIX STREET, PRESCOTT, WI 540213
05/01/2018 04/30/2020NEW RICHMOND HIGH SCHOOL, 650 RICHMOND WAY, NEW RICHMOND, WI 540173
05/01/2018 04/30/2020NEW RICHMOND MIDDLE SCHOOL, 920 RILEY AVE, NEW RICHMOND, WI 540173
05/01/2018 04/30/2020NORTH HUDSON ELEMENTARY, 510 LEMON ST NORTH, HUDSON, WI 540163
05/01/2018 04/30/2020PAPERJACK ELEMENTARY, 1101 E 11TH STREET, NEW RICHMOND, WI 540173
05/01/2018 04/30/2020PRESCOTT HIGH SCHOOL, 1010 DEXTER ST, PRESCOTT, WI 540213
05/01/2018 04/30/2020PRESCOTT MIDDLE SCHOOL, 125 N ELM STREET, PRESCOTT, WI 540213
05/01/2018 04/30/2020STARR ELEMENTARY, 967 S STARR AVE, NEW RICHMOND, WI 540173
05/01/2018 04/30/2020WILLOW RIVER ELEMENTARY, 1118 4TH ST, HUDSON, WI 540163
WEST BEND
1017AFFILIATED CLINICAL SERVICES INC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201810/01/1984
(262) 338-9767
(262) [email protected] FEUCHT
County: WashingtonWEST BEND, WI 53095111 E WASHINGTON STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020AFFILIATED CLINICAL SERVICES INC, 38 SELL DRIVE #B, HARTFORD, WI 530272
Setting Begin/End DatesNon-Certified School Setting(s)07/01/2018 06/30/2020BADGER MIDDLE SCHOOL, 727 S 6TH AVE, ROOM #112, WEST BEND, WI 53095
07/01/2018 06/30/2020WEST BEND EAST & WEST HIGH SCHOOL, 1305 E DECORAH RD, RM N 15, WEST BEND, WI 53095
2/11/2020 Page 200 of 224
Mental Health Program Directory By County, City, and Provider Name
3009ALARUS HEALTHCARE, LLC
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202004/01/201910/08/2013
(262) 377-6289
(608) [email protected] JOHNSON
County: WashingtonWEST BEND, WI 530951622 CHESTNUT ST
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 04/01/2019 09/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 04/01/2019 09/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 04/01/2019 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/11/2019 09/30/20204TH DIMENSION SOBER LIVING, 2838 N WEIL ST, MILWAUKEE, WI 532122
04/01/2019 09/30/2020ALARUS HEALTHCARE - BEAVER DAM, 111 WARREN ST #2, BEAVER DAM, WI 539162
04/01/2019 09/30/2020ALARUS HEALTHCARE - GRAFTON, 1971 WASHINGTON ST STE 200, GRAFTON, WI 530242
05/14/2019 09/30/2020WEST BEND HIGH SCHOOL, 1305 E DECORAH RD, WEST BEND, WI 530953
3234KETTLE MORAINE COUNSELING
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/29/202012/01/201911/28/2018
(262) 334-4341
(262) [email protected] MARSHALL
County: WashingtonWEST BEND, WI 53090400 W RIVER DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 12/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2019 12/29/2020KETTLE MORAINE COUNSELING, W62N281 WASHINGTON AVE, CEDARBURG, WI 530122
12/01/2019 12/29/2020KETTLE MORAINE COUNSILING, 7280 S 13TH ST SUITE 103, OAK CREEK, WI 531542
Setting Begin/End DatesNon-Certified School Setting(s)12/01/2019 12/29/2020MCLANE ELEMENTARY SCHOOL, 833 CHESTNUT ST, WEST BEND, WI 53095
12/01/2019 12/29/2020SILVERBROOK MIDDLE SCHOOL, 120 N SILVERBROOK DR, WEST BEND, WI 53095
12/01/2019 12/29/2020SLINGER SCHOOL DISTRICT, 207 POLK ST, SLINGER, WI 53086
12/01/2019 12/29/2020SLINGER SCHOOL DISTRICT, 521 OLYMPIC DR, SLINGER, WI 53086
1968WASHINGTON COUNTY MENTAL HEALTH CENTER
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201910/01/1975
(262) 335-6827
(262) [email protected] LESLIE
County: WashingtonWEST BEND, WI 53095333 E WASHINGTON ST #2100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 05/01/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 201 of 224
Mental Health Program Directory By County, City, and Provider Name
2303WASHINGTON COUNTY MENTAL HEALTH CENTER COMMUNITY SUPPORT PROGRAM
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201910/01/1975
(262) 335-6827
(262) [email protected] LESLIE
County: WashingtonWEST BEND, WI 53095333 E. WASHINGTON ST SUITE 2100
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
2580WASHINGTON COUNTY MENTAL HEALTH CENTER COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/2005
(262) 335-6827
(262) [email protected] LESLIE
County: WashingtonWEST BEND, WI 53095333 E WASHINGTON STREET, #2100
CCS Affiliaton: 01/01/2015Begin: End: Lead:Lakeshore Recovery Collaborative
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 03/01/2018 02/29/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WAUKESHABROOKFIELD
2654ASCENSION SE WI HOSPITAL, INC ST JOSEPH BEHAVIORAL HEALTH II
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201907/22/2005
(414) 874-6291
(414) [email protected] HESS
County: WaukeshaBROOKFIELD, WI 5300513950 W CAPITOL DR 2ND FLOOR
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021ASCENSION - ELMBROOK HOSPITAL, 19333 W NORTH AVE #304, BROOKFIELD, WI 530451
1237CORNERSTONE COUNSELING SERVICES, INC.
Surveyor: Kelley Clark
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/29/202003/01/201803/01/1993
(262) 821-6180
(262) [email protected] ADAMS
County: WaukeshaBROOKFIELD, WI 5300516535 W. BLUEMOUND ROAD, #200
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2018 02/29/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2018 02/29/2020
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC, 5007 S HOWELL AVENUE, SUITE 350, MILWAUKEE,
WI 532072
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 10850 W PARK PLACE, #100, MILWAUKEE, WI 532242
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 11649 N PORT WASHINGTON RD, #201, MEQUON, WI 53092
2
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 1230 CORPORATE CENTER DR, STE 100, OCONOMOWOC, WI 53066
2
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 400 BAY VIEW ROAD, SUITE C, MUKWONAGO, WI 53149
2
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 4811 S 76TH ST #208, GREENFIELD, WI 532202
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 5555 N PORT WASHINGTON ROAD, #200, GLENDALE, WI 53217
2
03/01/2018 02/29/2020CORNERSTONE COUNSELING SERVICES, INC., 741 N GRAND AVENUE, #302, WAUKESHA, WI 531862
12/11/2018 02/29/2020MUKWONAGO HIGH SCHOOL, 605 W VETERANS WAY, MUKWONAGO, WI 531493
2692FAMILY OPTIONS COUNSELING, LLC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/02/2006
(414) 431-0858
(414) [email protected] YOUNG
County: WaukeshaBROOKFIELD, WI 530053505 NORTH 124TH ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2/11/2020 Page 203 of 224
Mental Health Program Directory By County, City, and Provider Name
1730PATHWAYS COUNSELING CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201912/01/1985
(262) 641-9791
(262) [email protected] BEDRIN
County: WaukeshaBROOKFIELD, WI 5300513105 W. BLUEMOUND ROAD, #100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
2461WISCONSIN EARLY AUTISM PROJECT, INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201805/20/2003
(608) 662-9041
(608) [email protected] THOMPSON
County: WaukeshaBROOKFIELD, WI 53005150 N. SUNNYSLOPE RD SUITE 100
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 05/31/2020WISCONSIN EARLY AUTISM PROJECT DEPERE, 1141 W MAIN AVE STE 201, DE PERE, WI 541151
05/01/2019 05/31/2020WISCONSIN EARLY AUTISM PROJECT EAU CLAIRE, 2125 HEIGHTS DR STE 2F, EAU CLAIRE, WI 54701
1
05/01/2019 05/31/2020WISCONSIN EARLY AUTISM PROJECT MADISON, 1210 FOURIER DR, MADISON, WI 537171
3177WLCFS DBA CHRISTIAN FAMILY SOLUTIONS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201807/05/2017
(262) 345-5562
(800) [email protected] SEMMANN
County: WaukeshaBROOKFIELD, WI 5300516535 W BLUEMOUND RD SUITE 305
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 08/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 08/01/2018 07/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2019 07/31/2020WISCONSIN LUTHERAN COLLEGE, 8800 BLUEMOUND ROAD, MILWAUKEE, WI 532262
ELM GROVE
2734APPLIED THERAPIES AND WELLNESS CENTER SC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201805/30/2007
(414) 302-1234
(414) 302-1233twollin@appliedtherapiesandwellnesTRISHA WOLLIN
County: WaukeshaELM GROVE, WI 5312212970 W BLUEMOUND RD, #304
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1297ELMBROOK FAMILY COUNSELING CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/01/1978
(262) 785-0644
(262) 785-9188info@elmbrookfamilycounselingcentHOWARD J HAVEN
County: WaukeshaELM GROVE, WI 5312213000 W BLUEMOUND RD #300
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
MENOMONEE FALLS
2688DOMINION BEHAVIORAL HEALTH SERVICES, LLC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201911/01/2006
(262) 252-7567
(262) [email protected] DIXON
County: WaukeshaMENOMONEE FALLS, WI 53051W132 N6303 MARACH ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
2076FROEDTERT & THE MEDICAL COLLEGE OF WI-COMMUNITY MEMORIAL HOSPITAL
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202009/01/201810/01/1982
(262) 257-2570
(262) [email protected] JONES
County: WaukeshaMENOMONEE FALLS, WI 53051W180 N8085 TOWN HALL ROAD
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 09/01/2018 08/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2018 08/31/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 05/06/2019 08/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 09/01/2018 08/31/2020
Services
NO BRANCH LOCATIONS
1579FROEDTERT PHYSICIANS PARTNERS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201902/01/1981
(262) 532-9585
(262) [email protected] GRANCORVITZ
County: WaukeshaMENOMONEE FALLS, WI 53051W129 N 7055 NORTHFIELD DR 3RD FL BLDG A
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2019 10/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2019 10/31/2021FROEDTERT AND MED COLLEGE PHY PARTNERS SUNNYSLOPE, 1350 SUNNYSLOPE ROAD,
BROOKFIELD, WI 530051
11/01/2019 10/31/2021FROEDTERT PHYSICIANS PARTNERS, 110 LONE OAK LANE, HARTFORD, WI 530271
11/01/2019 10/31/2021FROEDERT PHYSICIANS PARTNERS, W168 N11237 WESTERN AVENUE, GERMANTOWN, WI 530222
11/01/2019 10/31/2021FROEDTERT COMMUNITY PHYSICIANS LINCOLN AVE HEALTH, 11211 W LINCOLN AVE, WEST ALLIS, WI 53227
2
11/01/2019 10/31/2021FROEDTERT COMMUNITY PHYSICIANS MOORLAND RESERVE, 4805 S. MOORLAND RD, NEW BERLIN, WI 53151
2
11/01/2019 10/31/2021FROEDTERT COMMUNITY PHYSICIANS SARGEANT CLINIC, 840 N 87TH ST, MILWAUKEE, WI 532262
2/11/2020 Page 205 of 224
Mental Health Program Directory By County, City, and Provider Name
MUSKEGO
3162AURORA PSYCHIATRIC HOSPITAL MUSKEGO PROGRAMS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202012/14/2016
(414) 422-2190
(414) [email protected] SURFUS-LEWISTON
County: WaukeshaMUSKEGO, WI 53150S74W16775 JANESVILLE ROAD
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2020 12/31/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH-DAY TREATMENT DHS 61.75 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
OCONOMOWOC
1810ROGERS MEMORIAL HOSPITAL
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201908/01/1988
(262) 303-4337
(262) [email protected] SCHULTZ
County: WaukeshaOCONOMOWOC, WI 5306634700 VALLEY ROAD
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 11/01/2019 10/31/2021
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 11/01/2019 10/31/2021
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 11/01/2019 10/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
3099ROGERS MEMORIAL HOSPITAL - SILVER LAKE OUTPATIENT CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201809/28/2015
(262) 646-1049
(262) [email protected] SCHULTZ
County: WaukeshaOCONOMOWOC, WI 530661205 CORPORATE CENTER DRIVE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 11/01/2018 10/31/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 11/01/2018 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 11/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 11/01/2018 10/31/2020
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 11/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 DHS 40.11(2)(B) 11/01/2018 10/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 2 W/TELEHEALTH DHS 40.11(2)(B)
11/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3254ROGERS MEMORIAL HOSPITAL, INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202006/18/201906/18/2019
(262) 567-3490
(262) [email protected] SCHULTZ
County: WaukeshaOCONOMOWOC, WI 530661230 CORPORATE CENTER DR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/18/2019 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 06/18/2019 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 06/18/2019 10/31/2020
MENTAL HEALTH-DAY TREATMENT WITH TELEHEALTH DHS 61.75 06/18/2019 11/29/2019
Services
NO BRANCH LOCATIONS
1841SOUTH STREET CLINIC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/01/1984
(262) 567-3097
(262) [email protected] A WESTON, PHD
County: WaukeshaOCONOMOWOC, WI 53066169 E WISCONSIN AVE STE G
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
WAUKESHA
1001A HEALING CENTER/EFFICIENCY MANAGEMENT CONSULTING, S.C.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202009/01/1987
(262) 821-6119
(262) [email protected] P.
County: WaukeshaWAUKESHA, WI 5318620860 WATERTOWN ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
2386AURORA BEHAVIORAL HEALTH CENTER - WAUKESHA
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201804/01/2002
(414) 454-6450
(414) [email protected] VALENTIN
County: WaukeshaWAUKESHA, WI 53186W231 N1440 CORPORATE CT #310
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2018 04/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2018 04/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2018 04/30/2020AURORA BEHAVIORAL HEALTH CENTER-MENOMONEE FALLS, W84W16889 MENOMONEE AVE,
MENOMONEE FALLS, WI 530511
05/01/2018 04/30/2020AURORA BEHAVIORAL HEALTH CENTER-BROOKFIELD, 16985 WEST BLUEMOUND ROAD, BROOKFIELD, WI 53005
2
05/01/2018 04/30/2020AURORA BEHAVIORAL HEALTH CENTER-NEW BERLIN, 14555 W NATIONAL AVE, NEW BERLIN, WI 53151
2
05/01/2018 04/30/2020AURORA BEHAVIORAL HEALTH CENTER-SUMMIT, 36500 AURORA DRIVE, SUMMIT, WI 530662
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Mental Health Program Directory By County, City, and Provider Name
3022BETHANY CHRISTIAN SERVICES OF WI
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202006/01/201806/01/2014
(262) 547-3644
(262) [email protected] SCHMEICHEL
County: WaukeshaWAUKESHA, WI 53188N14W23755 STONE RIDGE DR #265
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2018 05/31/2020
Services
NO BRANCH LOCATIONS
1134CATHOLIC CHARITIES OF THE ARCHDIOCESE OF MILWAUKEE, INC.
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201906/01/1981
(262) 547-8002
(262) [email protected] BIBO
County: WaukeshaWAUKESHA, WI 53186717 N EAST AVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
Services
NO BRANCH LOCATIONS
1340FAMILY SERVICE OF WAUKESHA
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202202/01/202009/01/1977
(262) 547-1608
(262) [email protected] CHERONE
County: WaukeshaWAUKESHA, WI 53186101 W BROADWAY, 2ND FLOOR
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 02/01/2020 01/31/2022
Services
Branch Begin/End DatesBranch Location(s)Tier02/01/2020 01/31/2022FAMILY SERVICE OF WAUKESHA, 175 EAST WISCONSIN AVE STE H, OCONOMOWOC, WI 530662
02/01/2020 01/31/2022FAMILY SERVICE OF WAUKESHA, 726 N EAST AVENUE, WAUKESHA, WI 531862
Setting Begin/End DatesNon-Certified School Setting(s)02/01/2020 01/31/2022ARROWHEAD UNION HIGH SCHOOL - NORTH, 800 NORTH AVE, HARTLAND, WI 53029
02/01/2020 01/31/2022ARROWHEAD UNION HIGH SCHOOL - SOUTH, 700 NORTH AVE, HARTLAND, WI 53029
02/01/2020 01/31/2022BANTING ELEMENTARY SCHOOL, 2019 BUTLER DR, WAUKESHA, WI 53186
02/01/2020 01/31/2022BLAIR ELEMENTARY SCHOOL, 301 HYDE PARK AVE, WAUKESHA, WI 53186
02/01/2020 01/31/2022DOUSMAN ELEMENTARY SCHOOL, 341 E OTTAWA AVE, DOUSMAN, WI 53118
02/01/2020 01/31/2022GREENLAND ELEMENTARY SCHOOL, 440 E COOLIDGE ST, OCONOMOWOC, WI 53066
02/01/2020 01/31/2022HADFIELD ELEMENTARY SCHOOL, 733 LINDEN ST, WAUKESHA, WI 53186
02/01/2020 01/31/2022HORNING MIDDLE SCHOOL, 2000 WOLF RD, WAUKESHA, WI 53189
02/01/2020 01/31/2022IXONIA ELEMENTARY SCHOOL, N8425 NORTH STREET, IXONIA, WI 53036
02/01/2020 01/31/2022MADISON ELEMENTARY SCHOOL, 9925 W GLENDALE, WAUWATOSA, WI 53225
02/01/2020 01/31/2022MEADOW VIEW ELEMENTARY SCHOOL, W360 N7077 BROWN ST, OCONOMOWOC, WI 53066
02/01/2020 01/31/2022NATURE HILL INTERMEDIATE SCHOOL, 850 LAKE DRIVE, OCONOMOWOC, WI 53066
02/01/2020 01/31/2022PARK LAWN ELEMENTARY SCHOOL, 300 PARKLAWN ST, OCONOMOWOC, WI 53066
02/01/2020 01/31/2022SOUTH HIGH SCHOOL, 222 MAPLE AVE, WAUKESHA, WI 53186
02/01/2020 01/31/2022SUMMIT ELEMENTARY SCHOOL, 1680 VALLEY ROAD, OCONOMOWOC, WI 53066
02/01/2020 01/31/2022WALES ELEMENTARY SCHOOL, 219 N OAK CREST DR, WALES, WI 53183
02/01/2020 01/31/2022WHITTIER ELEMENTARY SCHOOL, 1103 S EAST AVENUE, WAUKESHA, WI 53186
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Mental Health Program Directory By County, City, and Provider Name
3107HOPE FOR A BETTER TOMORROW
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201812/01/2015
(262) 910-1653
(262) [email protected]. SHEILA GISSIBL
County: WaukeshaWAUKESHA, WI 531882607 N GRANDVIEW BLVD, #110
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
NO BRANCH LOCATIONS
1974PROHEALTH CARE MEDICAL ASSOCIATES, INC. BEHAVIORAL HEALTH SERVICES
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202006/01/1986
(262) 928-5096
(262) [email protected] GRZYBOWSKI
County: WaukeshaWAUKESHA, WI 53188721 AMERICAN AVENUE #501
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 01/01/2020 12/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - DELAFIELD, 2750 GOLF ROAD, DELAFIELD, WI 530181
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - WATERTOWN, 109 AIR PARK DR, WATERTOWN, WI 530941
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - BIG BEND RD, 2130 BIG BEND ROAD, WAUKESHA, WI 53189
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - HARTLAND, 1500 WALNUT RIDGE DR, HARTLAND, WI 53029
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - MORELAND BLVD., 717 WEST MORELAND BLVD, WAUKESHA, WI 53188
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - MUKWONAGO, 240 WEST MAPLE AVE, MUKWONAGO, WI 53149
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - MUSKEGO, S69 W15636 JANESVILLE RD, MUSKEGO, WI 53150
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - NEW BERLIN, 13900 WEST NATIONAL AVE, NEW BERLIN, WI 53151
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - OCONOMOWOC, 1185 CORPORATE CENTER DR SUITE 175 - 320, OCONOMOWOC, WI 53066
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - PEWAUKEE, N16W24131 RIVERWOOD DR., WAUKESHA, WI 53188
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS - SUSSEX, N57 W24950 N CORPORATE CIRCLE, SUSSEX, WI 53089
2
01/01/2020 12/31/2021PHCMA, INC. BEHAVIORAL HEALTH SVS- BARSTOW ST, 210 NW BARSTOW ST, WAUKESHA, WI 53188
2
01/01/2020 12/31/2021PHCMA, INC.BEHAVIORAL HLTH SVS - BROOKFIELD, 195 DISCOVERY DR, BROOKFIELD, WI 530452
01/23/2020 12/31/2021ST JOHNS NW MILITARY ACADEMY, 1101 GENESEE ST, DELAFIELD, WI 530183
3221STRESS MANAGEMENT & MENTAL HEALTH CLINICS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/2018
(262) 544-6377
(262) [email protected] WEAVER
County: WaukeshaWAUKESHA, WI 531882717 N GRANDVIEW BLVD #303
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
3042WAUKESHA COUNTY DHHS CCS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/01/2014
(262) 896-8180
(262) [email protected] BIRDEAU
County: WaukeshaWAUKESHA, WI 531881501 AIRPORT ROAD
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL POPULATION-BASED DHS 36 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020WAUKESHA CO DHHS HUMAN SERVICES CENTER, 514 RIVERVIEW AVE, WAUKESHA, WI 531881
1972WAUKESHA COUNTY HEALTH AND HUMAN SERVICES-COMMUNITY SUPPORT PROGRAM
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/1990
(262) 896-8046
(262) [email protected] HAAS
County: WaukeshaWAUKESHA, WI 531881501 AIRPORT ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
1971WAUKESHA COUNTY MENTAL HEALTH CENTER
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202005/01/201804/01/1987
(262) 896-8046
(262) [email protected] LEWIS
County: WaukeshaWAUKESHA, WI 531881501 AIRPORT ROAD
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 05/01/2018 04/30/2020
MENTAL HEALTH-INPATIENT DHS 61.71 05/01/2018 04/30/2020
Services
NO BRANCH LOCATIONS
1970WAUKESHA COUNTY, DBA WAUKESHA COUNTY DHHS
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 04/30/202105/01/201904/01/1984
(262) 548-7656
(262) [email protected] SEYMOUR
County: WaukeshaWAUKESHA, WI 53188514 RIVERVIEW AVENUE
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 05/01/2019 04/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 05/01/2019 04/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 05/01/2019 04/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier05/01/2019 04/30/2021WAUKESHA COUNTY MENTAL HEALTH CENTER, 1501 AIRPORT RD, WAUKESHA, WI 531882
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Mental Health Program Directory By County, City, and Provider Name
1976WAUKESHA MEMORIAL HOSPITAL
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201906/01/1986
(262) 928-5382
(262) [email protected] GRZYBOWSKI
County: WaukeshaWAUKESHA, WI 53188725 AMERICAN AVENUE
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 01/01/2019 12/31/2020
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 01/01/2019 12/31/2020
CSAS-MEDICALLY MANAGED INPATIENT TREATMENT DHS 75.10 01/01/2019 12/31/2020
MENTAL HEALTH-DAY TREATMENT DHS 61.75 01/01/2019 12/31/2020
MENTAL HEALTH-INPATIENT DHS 61.71 01/01/2019 12/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WAUPACANEW LONDON
2750RAWHIDE YOUTH & FAMILY COUNSELING SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201908/23/2007
(920) 531-2662
(920) [email protected] ANN SMITH
County: WaupacaNEW LONDON, WI 54961E7475 RAWHIDE ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021RAWHIDE YOUTH & FAMILY SVS, 5460 N 64TH ST, MILWAUKEE, WI 532181
09/01/2019 08/31/2021RAWHIDE YOUTH & FAMILY SVS, 916 WILLARD DR STE 100, GREEN BAY, WI 543031
09/01/2019 08/31/2021RAWHIDE YOUTH & FAMILY SVS, W 3950 WI-23 TRUNCK, FOND DU LAC, WI 549371
09/01/2019 08/31/2021RAWHIDE - SHIOCTON, N5367 MAYFLOWER ROAD, SHIOCTON, WI 541702
09/01/2019 08/31/2021RAWHIDE YOUTH & FAMILY COUNSELING SVS, 446 WESTHILL BLVD STE 6, APPLETON, WI 549142
09/01/2019 08/31/2021RAWHIDE YOUTH & FAMILY COUNSELING SVS, 5555 N PORT WASHINGTON RD STE 207, GLENDALE, WI 53217
2
Setting Begin/End DatesNon-Certified School Setting(s)09/01/2019 08/31/2021MILWAUKEE ACADEMY OF SCIENCE, 2000 W KILBOURN, MILWAUKEE, WI 53233
09/01/2019 08/31/2021NEW LONDON HIGH SCHOOL, 1700 KLATT ROAD, NEW LONDON, WI 54961
09/01/2019 08/31/2021NEW LONDON MIDDLE SCHOOL, 1000 W WASHINGTON ST, NEW LONDON, WI 54961
WAUPACA
2123WAUPACA COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201812/01/1981
(715) 258-6409
(715) [email protected] NICHOLS
County: WaupacaWAUPACA, WI 54981811 HARDING STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
3109WAUPACA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202003/01/2016
(715) 258-6409
(715) [email protected] NICHOLS
County: WaupacaWAUPACA, WI 54981811 HARDING ST
CCS Affiliaton: 01/01/2016Begin: End: Lead:Central Wisconsin Health Partnership V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 01/01/2020 12/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
1977WAUPACA COUNTY DEPT OF HEALTH AND HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202107/01/201912/01/1981
(715) 258-6409
(715) [email protected] NICHOLS
County: WaupacaWAUPACA, WI 54981811 HARDING STREET
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 07/01/2019 06/30/2021
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2019 06/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2019 06/30/2021
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 07/01/2019 06/30/2021
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2019 06/30/2021WAUPACA CO DEPT OF HEALTH & HUMAN SERV, 1405 MILL ST, NEW LONDON, WI 549611
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Mental Health Program Directory By County, City, and Provider Name
WAUSHARAWAUTOMA
3191FAMILY HEALTH LA CLINICA
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/05/2018
(920) 787-4737
(920) [email protected] AMBROSIUS
County: WausharaWAUTOMA, WI 54982400 SOUTH TOWNLINE ROAD
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
NO BRANCH LOCATIONS
1980WAUSHARA COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/01/1975
(920) 787-0421
(920) [email protected] MORGAN-JONES
County: WausharaWAUTOMA, WI 54982230 W PARK STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 04/12/2019 11/29/2019
CSAS-PREVENTION DHS 75.04 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 04/12/2019 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2018 10/31/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 04/12/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020BERLIN HIGH SCHOOL, 222 MEMORIAL DRIVE, BERLIN, WI 549233
11/01/2018 10/31/2020TRI-COUNTY HIGH SCHOOL, 409 S WEST STREET, PLAINFIELD, WI 549663
11/01/2018 10/31/2020WAUTOMA HIGH SCHOOL, 514 S CAMBRIDGE STREET, WAUTOMA, WI 549823
11/01/2018 10/31/2020WESTFIELD AREA MIDDLE/HIGH SCHOOL, N 7046 COUNTY ROAD CH, WESTFIELD, WI 539643
11/01/2018 10/31/2020WILD ROSE SCHOOL DISTRICT, 600 PARK AVE, WILD ROSE, WI 549843
1979WAUSHARA COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201808/01/1997
(920) 787-0421
(920) [email protected] MORGAN-JONES
County: WausharaWAUTOMA, WI 54982230 W PARK STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2018 10/31/2020
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM W/TELEHEALTH DHS 63 07/15/2019
11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2618WAUSHARA COUNTY HUMAN SERVICES COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/19/2005
(920) 787-0421
(920) [email protected] MORGAN-JONES
County: WausharaWAUTOMA, WI 54982230 W PARK STREET
CCS Affiliaton: 01/01/2016Begin: End: Lead:Central Wisconsin Health Partnership V2
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 11/01/2018 10/31/2020
CCS REGIONAL MODEL SHARED SERVICES W/TELEHEALTH DHS 36 07/15/2019 11/29/2019
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WINNEBAGOMENASHA
1138CATHOLIC CHARITIES DIOCESE OF GREEN BAY, INC.
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202012/01/201801/26/1988
(920) 437-4067
(920) [email protected] J GARDNER
County: WinnebagoMENASHA, WI 549521475 OPPORTUNITY WAY
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 01/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 01/31/2020CATHOLIC CHARITIES DIOCESE OF GREEN BAY INC, 36 BROAD ST, #200, OSHKOSH, WI 549011
12/01/2018 01/31/2020CATHOLIC CHARITIES DIOCESE OF GREEN BAY INC, 364 S CAMBRIDGE STREET, WAUTOMA, WI 54982
1
12/01/2018 01/31/2020CATHOLIC CHARITIES DIOCESE OF GREEN BAY INC, N2845 SHADOW RD, WAUPACA, WI 549811
3209ONE LOVE - HARMONIZING MIND, BODY & SPIRIT
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 05/31/202106/01/201906/01/2018
() -
(920) [email protected] HOFACKER
County: WinnebagoMENASHA, WI 549521366 APPLETON ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 06/01/2019 05/31/2021
Services
NO BRANCH LOCATIONS
1333THE COUNSELING CLINIC-FAMILY SERVICES OF NORTHEAST WISCONSIN, INC.
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202012/01/201803/01/1983
(920) 739-7639
(920) [email protected] RAPPEL
County: WinnebagoMENASHA, WI 549521810 APPLETON ROAD
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2018 11/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier12/01/2018 11/30/2020PARKVIEW LEARNING CENTER, 217 E KIMBERLY AVE, KIMBERLY, WI 541362
12/01/2018 11/30/2020JANSSEN ELEMENTARY SCHOOL, 420 WALLACE ST, COMBINED LOCKS, WI 541133
12/01/2018 11/30/2020JR GERRITS MIDDLE SCHOOL, 545 SOUTH JOHN ST, KIMBERLY, WI 541363
12/01/2018 11/30/2020KAUKAUNA HIGH SCHOOL, 1701 COUNTY ROAD CE, KAUKAUNA, WI 541303
12/01/2018 11/30/2020KIMBERLY HIGH SCHOOL, 1662 E KENNEDY AVE, KIMBERLY, WI 541363
12/01/2018 11/30/2020LITTLE CHUTE HIGH SCHOOL, 1402 FREEDOM ROAD, LITTLE CHUTE, WI 541403
12/01/2018 11/30/2020LITTLE CHUTE MIDDLE SCHOOL, 325 MEULMANS STREET, LITTLE CHUTE, WI 541403
12/01/2018 11/30/2020MAPLEVIEW INTERMEDIATE SCHOOL, 125 E KIMBERLY AVE, KIMBERLY, WI 541363
12/01/2018 11/30/2020NEENAH HIGH SCHOOL, 1275 TULLAR RD, NEENAH, WI 549563
12/01/2018 11/30/2020SHATTUCK MIDDLE SCHOOL, 600 ELM STREET, NEENAH, WI 549563
12/01/2018 11/30/2020SUNRISE ELEMENTARY SCHOOL, N9363 EXPLORATION DR, APPLETON, WI 549153
12/01/2018 11/30/2020WESTSIDE ELEMENTARY SCHOOL, 746 W 3RD ST, KIMBERLY, WI 541363
12/01/2018 11/30/2020WOODLAND ELEMENTARY SCHOOL, N9085 N COOP RD, APPLETON, WI 549153
12/01/2018 11/30/2020WOODLAND INTERMEDIATE SCHOOL, N9085 N COOP RD, APPLETON, WI 549153
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Mental Health Program Directory By County, City, and Provider Name
1355THE SAMARITAN COUNSELING CENTER OF THE FOX VALLEY
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 02/28/202103/01/201903/01/1983
(920) 886-9357
(920) [email protected] EICHORST
County: WinnebagoMENASHA, WI 549521478 KENWOOD DRIVE SUITE 1
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 03/01/2019 02/28/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 03/01/2019 02/28/2021
Services
Branch Begin/End DatesBranch Location(s)Tier03/01/2019 02/28/2021THE SAMARITAN COUNSELING CTR FOX VALLEY, 510 SULLIVAN AVENUE, KAUKAUNA, WI 541301
03/01/2019 02/28/2021THE SAMARITAN COUNSELING CTR FOX VALLEY, 110 CHURCH AVENUE, OSHKOSH, WI 549012
03/01/2019 02/28/2021THE SAMARITAN COUNSELING CTR FOX VALLEY, 709 W PINE STREET, NEW LONDON, WI 549612
2052THEDACARE BEHAVIORAL HEALTH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201807/31/1998
(920) 720-3719
(920) [email protected] MEYER
County: WinnebagoMENASHA, WI 549521095 MIDWAY ROAD
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
MENTAL HEALTH-DAY TREATMENT DHS 61.75 07/01/2018 06/30/2020
Services
Branch Begin/End DatesBranch Location(s)Tier07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 1405 MILL STREET, NEW LONDON, WI 549611
07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 100 COUNTY ROAD B, SHAWANO, WI 541662
07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 2500 E CAPITAL DRIVE, APPLETON, WI 549112
07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 333 GREEN BAY RD, NEENAH, WI 549562
07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 600 N WESTHAVEN DRIVE, OSHKOSH, WI 549012
07/01/2018 06/30/2020THEDACARE BEHAVIORAL HEALTH, 902 RIVERSIDE DRIVE, #204, WAUPACA, WI 549812
NEENAH
1830REACH COUNSELING SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/11/1993
(920) 722-0142
(920) [email protected] BEYER
County: WinnebagoNEENAH, WI 549561509 S COMMERCIAL STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020REACH COUNSELING SERVICES, INC., 414 DOCTORS COURT, SUITE 110, OSHKOSH, WI 549011
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Mental Health Program Directory By County, City, and Provider Name
1946THEDACARE REGIONAL MEDICAL CENTER NEENAH - BEHAVIORAL HEALTH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201903/01/1983
(920) 729-2906
(920) [email protected] BUTTS
County: WinnebagoNEENAH, WI 54956130 SECOND STREET
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 02/01/2019 01/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
2006WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201807/01/1988
(920) 720-9682
(920) [email protected] SOROKO
County: WinnebagoNEENAH, WI 54956211 N COMMERCIAL STREET
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
2278WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201811/01/2000
(920) 720-9682
(920) [email protected] AMOS
County: WinnebagoNEENAH, WI 54956211 N COMMERCIAL STREET
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
OSHKOSH
3218ASCENSION NE WISCONSIN - MERCY CAMPUS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201906/01/2018
(920) 223-3404
(920) [email protected] MEENK
County: WinnebagoOSHKOSH, WI 54904500 S OAKWOOD RD
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MANAGED INPATIENT DETOX DHS 75.06 09/01/2019 08/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
3219ASCENSION NE WISCONSIN - MERCY CAMPUS
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201906/01/2018
(920) 223-3404
(920) [email protected] MEENK
County: WinnebagoOSHKOSH, WI 549042700 W 9TH AVENUE STE 102
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2540AURORA MEDICAL GROUP OSHKOSH
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 08/31/202109/01/201909/01/2004
(920) 456-2025
(920) [email protected] WASSMANN
County: WinnebagoOSHKOSH, WI 54904700 N WESTHAVEN DRIVE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/01/2019 08/31/2021
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 09/01/2019 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier09/01/2019 08/31/2021AURORA MEDICAL GROUP NORTH FOND DU LAC, 700 N PARKRIDGE LN, NORTH FOND DU LAC, WI
549372
09/01/2019 08/31/2021AURORA MEDICAL GROUP OSHKOSH, 1136 WESTOWNE DR, NEENAH, WI 549562
09/01/2019 08/31/2021AURORA MEDICAL GROUP OSHKOSH, 1242 W FOND DU LAC STREET, RIPON, WI 549712
09/01/2019 08/31/2021AURORA MEDICAL GROUP OSHKOSH, 210 WISCONSIN AMERICAN DRIVE, FOND DU LAC, WI 549352
09/01/2019 08/31/2021AURORA MEDICAL GROUP OSHKOSH, 414 DOCTORS CT, OSHKOSH, WI 549012
09/01/2019 08/31/2021AURORA MEDICAL GROUP OSHKOSH, 855 N WESTHAVEN DR, OSHKOSH, WI 549042
1723OSHKOSH COUNSELING CENTER, INC.
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 11/30/202112/01/201909/01/1985
(920) 231-4048
(920) [email protected] NIEMUTH
County: WinnebagoOSHKOSH, WI 54901501 MERRITT AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 12/01/2019 11/30/2021
Services
NO BRANCH LOCATIONS
2007WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/01/1975
(920) 236-1157
(920) [email protected] SOROKO
County: WinnebagoOSHKOSH, WI 54903220 WASHINGTON AVENUE
Service Begin/End DatesAdm Code
CSAS-EMERGENCY OUTPATIENT DHS 75.05 11/01/2018 10/31/2020
CSAS-OUTPATIENT TREATMENT DHS 75.13 11/01/2018 10/31/2020
CSAS-PREVENTION DHS 75.04 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
2266WINNEBAGO COUNTY DEPARTMENT OF HUMAN SERVICES CSP
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201810/01/1975
(920) 236-1157
(920) [email protected] HOODIE
County: WinnebagoOSHKOSH, WI 54903220 WASHINGTON AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63 11/01/2018 10/31/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2579WINNEBAGO COUNTY DHS COMPREHENSIVE COMMUNITY SERVICES
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/09/2005
(920) 236-1157
(920) [email protected] SOROKO
County: WinnebagoOSHKOSH, WI 54903220 WASHINGTON AVENUE
CCS Affiliaton: 09/01/2014Begin: End: Lead:Northeastern Region CCS Consortium
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 04/01/2019 03/31/2021
Services
NO BRANCH LOCATIONS
ROSCOE
3182HOPE - CHILD AND FAMILY COUNSELING INC
Surveyor: Anastasia E. Vega
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 07/31/202008/01/201808/22/2017
(866) 303-8062
(815) [email protected] WAGNER
County: WinnebagoROSCOE, IL 6107311447 2ND ST SUITE 9B
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 08/01/2018 07/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier08/01/2018 07/31/2020HOPE - CHILD AND FAMILY COUNSELING INC, 20 ECLIPSE CENTER, BELOIT, WI 535112
Setting Begin/End DatesNon-Certified School Setting(s)08/01/2018 07/31/2020FRUZEN INTERMEDIATE, 2600 MILWAUEE RD, BELOIT, WI 53511
08/01/2018 07/31/2020MCNEAL, 1524 FREDERICK ST, BELOIT, WI 53511
08/01/2018 07/31/2020TODD ELEMENTARY, 1621 OAKWOOD AVE, BELOIT, WI 53511
WINNEBAGO
2008WINNEBAGO MENTAL HEALTH INSTITUTE
Surveyor: Heather Schweiner
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202111/01/201910/01/1975
(920) 237-2043
(920) 237-2802 [email protected] LUNDQUIST
County: WinnebagoWINNEBAGO, WI 54985TREFFERT DRIVE & BUTLER AVENUE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MONITORED TREATMENT DHS 75.11 11/01/2019 10/31/2021
MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79 11/01/2019 10/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 11/01/2019 10/31/2021
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
WOODMARSHFIELD
2623MARRIAGE AND FAMILY HEALTH SERVICES, LTD.
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202001/01/201901/01/2006
(715) 832-0771
(715) [email protected] MICHALEK
County: WoodMARSHFIELD, WI 54449501 SOUTH CHERRY AVE, #5
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2019 12/31/2020
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 01/01/2019 12/31/2020
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2019 12/31/2020EAST JUNIOR HIGH SCHOOL, 311 LINCOLN STREET, WISCONSIN RAPIDS, WI 544943
01/01/2019 12/31/2020GRANT ELEMENTARY, 425 W UPHAM ST, MARSHFIELD, WI 544493
01/01/2019 12/31/2020LINCOLN ELEMENTARY, 1621 S FELKER AVE, MARSHFIELD, WI 544493
01/01/2019 12/31/2020LINCOLN HIGH SCHOOL, 1801 16TH STREET SOUTH, WISCONSIN RAPIDS, WI 544943
01/01/2019 12/31/2020MADISON ELEMENTARY, 510 N PALMETTO AVE, MARSHFIELD, WI 544493
01/01/2019 12/31/2020MARSHFIELD HIGH SCHOOL, 1401 E BECKER ROAD, MARSHFIELD, WI 544493
01/01/2019 12/31/2020MARSHFIELD MIDDLE SCHOOL, 900 EAST 4TH STREET, MARSHFIELD, WI 544493
01/01/2019 12/31/2020NASONVILLE ELEMENTARY, 11044 US HIGHWAY 10, MARSHFIELD, WI 544493
01/01/2019 12/31/2020WASHINGTON ELEMENTARY, 1112 W 11TH ST, MARSHFIELD, WI 544493
1566MARSHFIELD MEDICAL CENTER CLINIC PROF SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 10/31/202011/01/201812/01/1982
(715) 387-9025
(715) [email protected] BUMP
County: WoodMARSHFIELD, WI 544491000 N OAK AVENUE
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 11/01/2018 10/31/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 11/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier11/01/2018 10/31/2020MARSHFIELD CLINIC-CHIPPEWA FALLS, 2655 CO HWY I, CHIPPEWA FALLS, WI 547291
11/01/2018 10/31/2020MARSHFIELD CLINIC-HAYWARD, 10212 N GREENWOOD LN, HAYWARD, WI 548431
11/01/2018 10/31/2020MARSHFIELD CLINIC-LADYSMITH, 906 COLLEGE AVE, LADYSMITH, WI 548481
11/01/2018 10/31/2020MARSHFIELD CLINIC-MENOMONIE, 3603 SCHNEIDER AVE, MENOMONIE, WI 547511
11/01/2018 10/31/2020MARSHFIELD CLINIC-MOSINEE CENTER, 390 ORBITING DR, MOSINEE, WI 544551
11/01/2018 10/31/2020MARSHFIELD CLINIC-WAUSAU CENTER, 2727 PLAZA DR, WAUSAU, WI 544011
11/01/2018 10/31/2020MARSHFIELD CLINIC-WI RAPIDS CENTER, 220 24TH ST, WISCONSIN RAPIDS, WI 544941
11/01/2018 10/31/2020MARSHFIELD CLINIC-LAKE HALLIE, 12961 27TH AVE, CHIPPEWA FALLS, WI 547292
11/01/2018 10/31/2020MARSHFIELD CLINIC-LAKEWOODS, 1215 W KNAPP, RICE LAKE, WI 548682
11/01/2018 10/31/2020MARSHFIELD CLINIC-MINOCQUA CENTER, 9601 TOWNLINE RD, MINOCQUA, WI 545482
11/01/2018 10/31/2020MARSHFIELD CLINIC-PARK FALLS CENTER, 50 SHERRY AVE, PARK FALLS, WI 545522
11/01/2018 10/31/2020MARSHFIELD CLINIC-RIVERVIEW, 1000 STARR AVE, EAU CLAIRE, WI 547012
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Mental Health Program Directory By County, City, and Provider Name
1709NORWOOD HEALTH CENTER
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 01/31/202102/01/201904/01/1980
(715) 387-1533
(715) [email protected] BRUCE
County: WoodMARSHFIELD, WI 544491600 N CHESTNUT AVE
Service Begin/End DatesAdm Code
CSAS-MEDICALLY MONITORED RESIDENTIAL DETOX DHS 75.07 02/01/2019 01/31/2021
MENTAL HEALTH-INPATIENT DHS 61.71 02/01/2019 01/31/2021
Services
NO BRANCH LOCATIONS
3019WISE MIND MENTAL HEALTH CLINIC, LLC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201903/31/2014
(715) 384-0090
(715) [email protected] K FABER
County: WoodMARSHFIELD, WI 54449601 EAST 3RD ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 04/01/2019 03/31/2021
Services
Setting Begin/End DatesNon-Certified School Setting(s)09/16/2019 03/31/2021MARSHFIELD HIGH SCHOOL, 1401 E BECKER ROAD, MARSHFIELD, WI 54449
WISCONSIN RAPIDS
3231ASPIRUS RIVERVIEW BEHAVIORAL HEALTH CLINIC
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202010/01/201810/01/2018
(715) 422-9320
(715) [email protected] HARRIS
County: WoodWISCONSIN RAPIDS, WI 54494420 DEWEY ST
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2018 09/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 10/01/2018 11/29/2019
Services
NO BRANCH LOCATIONS
2293CENTRAL WISCONSIN COUNSELING ASSOCIATES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 12/31/202101/01/202001/01/2001
(715) 424-6963
(715) [email protected] GUNDERSON
County: WoodWISCONSIN RAPIDS, WI 54495320 W. GRAND AVE SUITE 304A
Service Begin/End DatesAdm Code
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 01/01/2020 12/31/2021
Services
Branch Begin/End DatesBranch Location(s)Tier01/01/2020 12/31/2021LINCOLN HIGH SCHOOL, 1801 - 16TH STREET SOUTH, WISCONSIN RAPIDS, WI 544943
01/01/2020 12/31/2021RIVER CITIES HIGH SCHOOL, 2390 - 48TH STREET SOUTH, WISCONSIN RAPIDS, WI 544953
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Mental Health Program Directory By County, City, and Provider Name
1208CLINICAL SERVICES
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202110/01/201910/01/1988
(715) 424-3441
(715) [email protected] MICHAEL J NELSON
County: WoodWISCONSIN RAPIDS, WI 54495420 3RD STREET SOUTH
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 10/01/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 10/01/2019 09/30/2021
Services
NO BRANCH LOCATIONS
3268CLINICAL SERVICES
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 09/30/202109/18/201909/18/2019
(715) 712-1341
(715) [email protected] SIGLER EDMUNDSON
County: WoodWISCONSIN RAPIDS, WI 54494420 3RD STREET SO
Service Begin/End DatesAdm Code
CSAS-OUTPATIENT TREATMENT DHS 75.13 09/18/2019 09/30/2021
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 09/18/2019 09/30/2021
Services
NO BRANCH LOCATIONS
2291NORTHWEST COUNSELING & GUIDANCE CLINIC DBA NORTHWEST JOURNEY - WISCONSIN RAPIDS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 03/31/202104/01/201902/12/2001
(855) 897-2741
(715) [email protected] MAURER
County: WoodWISCONSIN RAPIDS, WI 54494110 24TH ST S
Service Begin/End DatesAdm Code
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 DHS 40.11(2)(A) 04/01/2019 03/31/2021
MENTAL HEALTH-DAY TREATMENT FOR CHILDREN 1 W/TELEHEALTH DHS 40.11(2)(A)
04/01/2019 11/29/2019
Services
NO BRANCH LOCATIONS
2678WOOD COUNTY HUMAN SERVICES CCS
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201808/01/1977
(715) 421-2266
(715) [email protected] SCHEIDEGGER
County: WoodWISCONSIN RAPIDS, WI 54494111 W JACKSON ST
CCS Affiliaton: 09/01/2014Begin: End: Lead:Portage Wood Partnership
Service Begin/End DatesAdm Code
CCS REGIONAL MODEL SHARED SERVICES DHS 36 07/01/2018 06/30/2020
Services
NO BRANCH LOCATIONS
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Mental Health Program Directory By County, City, and Provider Name
2019WOOD COUNTY HUMAN SERVICES DEPARTMENT
Surveyor: Roderick Senn
Initial Cert:Cert Eff:Cert Exp:
Fax:
Phone: 06/30/202007/01/201808/01/1977
(715) 421-2266
(715) [email protected] SCHUELER SHEVELAND
County: WoodWISCONSIN RAPIDS, WI 54494111 W JACKSON ST
Service Begin/End DatesAdm Code
CSAS-DAY TREATMENT DHS 75.12 07/01/2018 06/30/2020
CSAS-DAY TREATMENT WITH TELEHEALTH DHS 75.12 07/01/2018 11/29/2019
CSAS-EMERGENCY OUTPATIENT DHS 75.05 07/01/2018 06/30/2020
CSAS-EMERGENCY OUTPATIENT WITH TELEHEALTH DHS 75.05 07/01/2018 11/29/2019
CSAS-OUTPATIENT TREATMENT DHS 75.13 07/01/2018 06/30/2020
CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13 07/01/2018 11/29/2019
MENTAL HEALTH OUTPATIENT CLINIC DHS 35 07/01/2018 06/30/2020
MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35 07/01/2018 11/29/2019
MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3 07/01/2018 06/30/2020
MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3 07/01/2018 11/29/2019
Services
Branch Begin/End DatesBranch Location(s)Tier10/25/2019 06/30/2020CORNERSTONE, 630 S CENTRAL AVE SUITE 204, MARSHFIELD, WI 544492
07/01/2018 06/30/2020NORWOOD HEALTH CARE BRANCH OFFICE, 1600 NORTH CHESTNUT, MARSHFIELD, WI 544492
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