Provider Demographics
NPI:1437240868
Name:AURORA COUNSELING CENTERS EMPLOYEE SUPPORT SYSTEMS, INC.
Entity type:Organization
Organization Name:AURORA COUNSELING CENTERS EMPLOYEE SUPPORT SYSTEMS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICKELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-635-4858
Mailing Address - Street 1:406 TECHNOLOGY DR E STE B
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2768
Mailing Address - Country:US
Mailing Address - Phone:715-235-4696
Mailing Address - Fax:715-235-3941
Practice Address - Street 1:406 TECHNOLOGY DR E
Practice Address - Street 2:SUITE C
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2767
Practice Address - Country:US
Practice Address - Phone:715-235-4696
Practice Address - Fax:715-235-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42198000Medicaid