CMS-1500 Box 24J / 33a • NPI
1326113887
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
322D00000X
Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children
Box 32 Service Location & ZIP+4
W18105 HEMLOCK RD, WITTENBERG, WI, 54499-8647
✓ 9-Digit EDI 837 ZIP+4 (54499-8647)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1326113887 (LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1326113887 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC. |
| Plain-English Specialty | Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children NUCC Code: 322D00000X (Residential Treatment Facility, Emotionally Disturbed Children) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | W18105 HEMLOCK RD, WITTENBERG, WI, 54499-8647 |
| Practice Telephone / Fax | Tel: (715) 253-2116 |
| Administrative Mailing Address | W18105 HEMLOCK RD, WITTENBERG, WI, 54499-8647 |
| Enumeration & Last Sync | Enumerated: 2006-11-21 | CMS Record Updated: 2025-01-06 |
| Authorized Official | TARA TREGLOWNE (COO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (322D00000X)
What Does Taxonomy Code 322D00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 322D00000X translates to:
"Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
322D00000X — Residential Treatment Facility, Emotionally Disturbed ChildrenPlain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children | State: N/A | License: Verified | Primary: Yes (Primary) |
3245S0500X — Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, ChildrenPlain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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