1572
Lic #:
MARSHFIELD CLINIC MINOCQUA COUNSELING CENTER
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 10/31/2016 04/13/2015 11/01/1999 (715) 358-7863 (715) 356-1793 [email protected] KAREN SWARTZ Oneida County MINOCQUA, WI 54548 9601 TOWNLINE ROAD
Service Begin / End Dates
Adm Code
04/13/2015 10/31/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
04/13/2015 10/31/2016 MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35
Tier
Branch Location ( s )
Branch Begin / End Dates
04/13/2015 10/31/2016 MARSHFIELD CLINIC COUNSELING CENTER, 50 SHERRY AVENUE, PARK FALLS, WI 54552
2
2316
Lic #:
NORTH CENTRAL COUNSELING SERVICES JOSEPH ROE & ASSOC /DBA SHIRLEY LIMBERG
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 03/31/2016 04/01/2014 03/01/2000 (715) 358-9556 (715) 356-6146 [email protected] SHIRLEY LIMBERG Oneida County MINOCQUA, WI 54548 8618 HIGHWAY 51 NORTH
Service Begin / End Dates
Adm Code
04/01/2014 03/31/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
Tier
Branch Location ( s )
Branch Begin / End Dates
04/01/2014 03/31/2016 NCCS J ROE & ASSOC DBA SHIRLEY LIMBERG, HIGHWAY 13 - SOUTH, PARK FALLS, WI 54552
1
2977
Lic #:
CORNERSTONE PSYCHOLOGICAL ASSOCIATES, LLC
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 09/30/2017 10/01/2015 08/14/2012 (715) 420-1202 (715) 420-1201 [email protected] THOMAS F. MCGUIRE, LPC Oneida County RHINELANDER, WI 54501 315 S ONEIDA AVE SUITE 101
Service Begin / End Dates
Adm Code
10/01/2015 09/30/2017 CSAS-OUTPATIENT TREATMENT DHS 75.13
10/01/2015 09/30/2017 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
2742
Lic #:
OPTIONS COUNSELING SERVICES, LLC
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 03/31/2016 11/23/2015 04/17/2007 (715) 362-2819 (715) 362-5745 [email protected] BRUCE DECORAH Oneida County RHINELANDER, WI 54501
158 SOUTH ANDERSON STREET, SUITE 1
Service Begin / End Dates
Adm Code
11/23/2015 03/31/2016 CSAS-OUTPATIENT TREATMENT DHS 75.13
11/23/2015 03/31/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
Tier
Branch Location ( s )
Branch Begin / End Dates
11/23/2015 03/31/2016 OPTIONS COUNSELING SERVICES LLC, 722 EAST WALL STREET, EAGLE RIVER, WI 54521
1
11/23/2015 03/31/2016 OPTIONS COUNSELING SERVICES LLC, 9344 COUNTY RD J, PO BOX 27, MINOCQUA, WI 54548
1
11/23/2015 03/31/2016 OPTIONS COUNSELING SERVICES LLC, 1991 WINNEBAGO STREET, RHINELANDER, WI 54501
2
11/23/2015 03/31/2016 ANTIGO HIGH SCHOOL, 1900 TENTH AVENUE, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 ANTIGO MIDDLE SCHOOL, 815 SEVENTH AVENUE, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 ARBOR VITAE-WOODRUFF ELEMENTARY SCHOOL, 11065 OLD STATE HWY 51 NORTH, ARBOR VITAE,
3
11/23/2015 03/31/2016 CENTRAL ELEMENTARY, 418 NORTH PELHAM STREET, RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 CRANDON ELEMENTARY/ MIDDLE/HIGH SCHOOL, 9750 US HWY 8 WEST, CRANDON, WI 54520
3
11/23/2015 03/31/2016 CRESCENT ELEMENTARY, 3319 BOYCE DRIVE, RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 CRESTWOOD ELEMENTARY SCHOOL, W8464 CH AA, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 EAGLE RIVER ELEMENTARY SCHOOL, 1700 PLEASURE ISLAND RD, EAGLE RIVER, WI 54521
3
11/23/2015 03/31/2016 EAST ELEMENTARY SCHOOL, 220 SEVENTH AVENUE, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 JAMES WILLIAMS MIDDLE SCHOOL, 915 ACACIA LANE, RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 LAKELAND UNION HIGH SCHOOL DISTRICT, 9573 STATE HIGHWAY 70, MINOCQUA, WI 54548
3
11/23/2015 03/31/2016 LAND O' LAKES ELEMENTARY, 6485 TOWN HALL ROAD, LAND O LAKES, WI 54540
3
11/23/2015 03/31/2016 MATTOON ELEMENTARY SCHOOL, 507 STONE AVENUE, MATTOON, WI 54450
3
11/23/2015 03/31/2016 NORTH ELEMENTARY SCHOOL, 506 GRAHAM AVENUE, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 NORTHLAND PINES HIGH SCHOOL, 1800 PLEASURE ISLAND ROAD, EAGLE RIVER, WI 54521
3
11/23/2015 03/31/2016 NORTHLAND PINES MIDDLE SCHOOL, 1700 PLEASURE ISLAND RD, EAGLE RIVER, WI 54521
3
11/23/2015 03/31/2016 NORTHWOODS COMM. SECONDARY CHARTER SCHOOL, 665 COOLIDGE AVENUE, RHINELANDER, W
3
11/23/2015 03/31/2016 NORTHWOODS COMMUNITY ELEMENTARY CHARTER SCHOOL, 9086 COUNTY HWY K, HARSHAW, WI
3
11/23/2015 03/31/2016 PELICAN ELEMENTARY, 3350 V HICKEY ROAD, RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 PLEASANT VIEW ELEMENTARY SCHOOL, W11141 CTY RD HH, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 RHINELANDER HIGH SCHOOL, 665 COOLIDGE, RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 SOAR CHARTER SCHOOL, 6485 TOWN HALL RD, LAND O LAKES, WI 54540
3
11/23/2015 03/31/2016 SPRING VALLEY ELEMENTARY, N4754 CTH BB, ANTIGO, WI 54409
3
11/23/2015 03/31/2016 ST GERMAIN ELEMENTARY SCHOOL, 8234 HWY 70 WEST, SAINT GERMAIN, WI 54558
3
11/23/2015 03/31/2016 SUGAR CAMP ELEMENTARY, 4066 CAMP FOUR RD., RHINELANDER, WI 54501
3
11/23/2015 03/31/2016 THREE LAKES ELM/JUNIOR & SENIOR HIGH SCHOOL, 6930 WEST SCHOOL ST, THREE LAKES, WI 545
3
11/23/2015 03/31/2016 WEST ELEMENTARY, 1232 SEVENTH AVENUE, ANTIGO, WI 54409
3
2531
Lic #:
PRICE-DECKER CLINIC, LLC
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 08/31/2016 09/01/2014 07/01/2004 (715) 362-2014 (715) 362-5437 [email protected] TERRY PRICE-DECKER Oneida County RHINELANDER, WI 54501 48 W KING STREET
Service Begin / End Dates
Adm Code
09/01/2014 08/31/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
2515
Lic #:
ST. MARY'S HOSPITAL MINISTRY BEHAVIORAL HEALTH INPATIENT
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 04/30/2016 05/01/2014 05/01/2004 (715) 361-2021 (715) 361-2020 [email protected] ANDREA STEFONEK Oneida County RHINELANDER, WI 54501 2251 N. SHORE DRIVE, #100
Service Begin / End Dates
Adm Code
05/01/2014 04/30/2016 MENTAL HEALTH-ADOLESCENT INPATIENT DHS 61.79
05/01/2014 04/30/2016 MENTAL HEALTH-INPATIENT DHS 61.71
NO BRANCH LOCATIONS
1762
Lic #:
ST. MARY'S HOSPITAL MINISTRY KOLLER BEHAVIORAL HEALTH
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 05/31/2016 06/01/2014 06/01/1985 (715) 361-2920 (715) 361-2805 [email protected] ANDREA STEFONEK Oneida County RHINELANDER, WI 54501 1020 KABEL AVENUE
Service Begin / End Dates
Adm Code
06/01/2014 05/31/2016 CSAS-OUTPATIENT TREATMENT DHS 75.13
06/01/2014 05/31/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
Tier
Branch Location ( s )
Branch Begin / End Dates
06/01/2014 05/31/2016 ST MARYS HOSP MINISTRY/KOLLER CRANDON, 400 W GLEN STREET, CRANDON, WI 54520
1
06/01/2014 05/31/2016 ST MARYS HOSP MINISTRY/KOLLER EAGLE RIVER, 930 E WALL STREET, EAGLE RIVER, WI 54521
1
06/01/2014 05/31/2016 ST MARYS HOSP MINISTRY/KOLLER TOMAHAWK, 401 MOHAWK AVE, TOMAHAWK, WI 54487
1
06/01/2014 05/31/2016 ST MARYS HOSP MINISTRY/KOLLER WOODRUFF, 311 ELM STREET, WOODRUFF, WI 54568
2
1427
Lic #:
THE HUMAN SERVICE CENTER
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 09/30/2016 10/01/2015 09/01/1980 (715) 369-2214 (715) 369-2215 [email protected] DONNA SHIMECK Oneida County RHINELANDER, WI 54501 705 EAST TIMBER DRIVE
Service Begin / End Dates
Adm Code
10/01/2015 09/30/2016 CSAS-OUTPATIENT TREATMENT DHS 75.13
10/01/2015 09/30/2016 CSAS-OUTPATIENT TREATMENT WITH TELEHEALTH DHS 75.13
10/01/2015 09/30/2016 MENTAL HEALTH OUTPATIENT CLINIC DHS 35
10/01/2015 09/30/2016 MENTAL HEALTH OUTPATIENT CLINIC WITH TELEHEALTH DHS 35
10/01/2015 09/30/2016 MENTAL HEALTH-EMERGENCY SERVICE 3 DHS 34.3
10/01/2015 09/30/2016 MENTAL HEALTH-EMERGENCY SERVICE 3 W/TELEHEALTH DHS 34.3
NO BRANCH LOCATIONS
3043
Lic #:
THE HUMAN SERVICE CENTER
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 06/30/2017 07/01/2015 06/27/2014 (715) 369-2214 (715) 369-2215 DONNA SHIMECK Oneida County RHINELANDER, WI 54501 705 EAST TIMBER DRIVE
Service Begin / End Dates
Adm Code
07/01/2015 06/30/2017 CCS REGIONAL MODEL UNIFIED BOARD DHS 36
07/01/2015 06/30/2017 CCS REGIONAL MODEL UNIFIED BOARD W/TELEHEALTH DHS 36
1426
Lic #:
THE HUMAN SERVICE CENTER CSP
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 05/31/2016 06/01/2014 09/01/1980 (715) 369-2214 (715) 369-2215 [email protected] DONNA SHIMECK Oneida County RHINELANDER, WI 54501 705 E. TIMBER DRIVE
Service Begin / End Dates
Adm Code
06/01/2014 05/31/2016 MENTAL HEALTH-COM SUPPORT PROGRAM W/TELEHEALTH DHS 63
06/01/2014 05/31/2016 MENTAL HEALTH-COMMUNITY SUPPORT PROGRAM DHS 63
NO BRANCH LOCATIONS
2642
Lic #:
TRANSITIONS CENTER, LLC
Surveyor: Polly Wong
Initial Cert: Cert Eff: Cert Exp: Fax: Phone: 01/31/2017 03/01/2015 02/01/2006 (715) 365-6768 (715) 365-6696 [email protected] RICHARD MARTIN Oneida County RHINELANDER, WI 54501 22 N PELHAM STREET
Service Begin / End Dates
Adm Code
03/01/2015 01/31/2017 CSAS-OUTPATIENT TREATMENT DHS 75.13
03/01/2015 01/31/2017 MENTAL HEALTH OUTPATIENT CLINIC DHS 35