CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC (NPI# 1376769117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376769117 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC |
| Other Organization Name | CATHOLIC CHARITIES DIOCESE OF GREEN BAY INC |
| Practice Address |
1825 Riverside Drive Green Bay WI 54305-3825 |
| Mailing Address |
Po Box 23825 1825 Riverside Drive Green Bay WI 54305-3825 |
| Practice Telephone | 9202728234 |
| Practice Fax Number | 9204374067 |
| Mailing Telephone | 9202728234 |
| Mailing Fax Number | 9204374067 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | THEODORE LAWRENCE PHERNETTON (DIRECTOR) |
| Authorized Official Telephone | 9202728234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42167700 | 05 |
| Other Name | Type Code |
|---|---|
| Catholic Charities Diocese of Green Bay Inc | Other Name - Individual/Organization |
| Street Address |
1825 RIVERSIDE DRIVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54305-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194024166 | Sara Ann Manthey-wanek | Social Worker | 1825 Riverside Drive, Green Bay, WI 54301-3825 | 2011-03-16 |
| 1811146798 | Nenglee Vang | Social Worker | 1825 Riverside Drive, Green Bay, WI 54305-3825 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213976 | Sheila K Gohr | Counselor | 2945 Shawano Avenue, Green Bay, WI 54305 | 2008-04-24 |
| 1609203504 | Claire Mary Spahn | Pharmacist | 300 Pasteur Dr, Rm H0301, M/c 5616, Stanford, CA 54305 | 2013-10-09 |
| 1679667109 | Bel-regional Home Medical Inc | Pharmacy | 744 S Webster Ave, Green Bay, WI 54305 | 2006-10-02 |
| 1417006370 | Lori Warchol | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2007-01-09 |
| 1952487183 | Mary Meier | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-31 |
| 1245326172 | James V Drake | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1194811034 | Susan L Jungen | Psychologist | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1942396866 | John Peter Nemick | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1891881728 | Susan Lockwood | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-05 |
| 1053406256 | Murray D Johnson | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-04 |
| Find all providers in zip 54305 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558519462 | Family Services of Northeast Wisconsin | Clinic/Center | 2945 Shawano Ave, Green Bay, WI 54313-6726 | 2008-09-04 |
| 1235323270 | Kathleen Bahler & Associates, Inc. | Clinic/Center | 315 S Jefferson, Green Bay, WI 54301-4522 | 2007-09-04 |
| 1124246897 | Tomahawk Counseling | Clinic/Center | 1345 W Mason Street, Suite L8, Green Bay, WI 54303 | 2007-04-20 |
| 1467453167 | Family Services of Northeast Wisconsin Inc | Clinic/Center | 300 Crooks St, Green Bay, WI 54301-4527 | 2005-08-03 |
| 1265969950 | Amanda Cardinal | Clinic/Center | 123 S Van Buren St, Green Bay, WI 54301-4441 | 2017-05-12 |
| 1487075214 | Kimberley Welk and Associates, LLC | Clinic/Center | 926 Willard Dr Ste 136, Green Bay, WI 54304-5296 | 2013-12-20 |
| 1578857967 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 445 S Adams St, Green Bay, WI 54301-4107 | 2011-06-03 |
| 1942305065 | County of Brown | Clinic/Center | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.