OrganizationActive
County of Waushara
NPI 1417120478 · Early Intervention Provider Agency · Wautoma, WI
Provider details
- NPI number
- 1417120478
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jen Gonzales, Account Clerk(920) 787-6550
- License
- 1980 (WI)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
380 S Townline Rd
Wautoma, WI 54982-6900
Phone: (920) 787-6550
Fax: (920) 787-0421
Street-level locationGet directions
Mailing address
380 S Townline Rd
Wautoma, WI 54982-6900
Other names (DBA / former)
- Other name
- Waushara County
- Doing business as
- Waushara County Clinical Services
- Doing business as
- Waushara County Therapy Services
- Doing business as
- Waushara County Therapy Services
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.