OrganizationActive
Jefferson County
NPI 1295864957 · Community/Behavioral Health Agency · Jefferson, WI
Provider details
- NPI number
- 1295864957
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Jefferson County
- Organization subpart
- Yes
- Authorized official
- Daniel Gebauer, Deputy Director(920) 674-8144
- License
- 2643 (WI)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
Fax: (920) 674-6113
Street-level locationGet directions
Mailing address
1541 Annex Rd
Jefferson, WI 53549-9803
Other names (DBA / former)
- Other name
- Jefferson County Human Services-Comprehensive Community Services
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.