JOHN R CHESLOCK


Address: 626 S Irwin Ave, Green Bay, WI 54301-3304
Phone: 9204366800

JOHN R CHESLOCK (NPI# 1821568437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821568437
Entity Type Individual
Full Name JOHN R CHESLOCK
Credential MA, LPC-IT
Practice Address 626 S Irwin Ave
Green Bay
WI 54301-3304
Mailing Address Po Box 22308
Green Bay
WI 54305-2308
Practice Telephone 9204366800
Practice Fax Number 9204325966
Mailing Telephone 9204366800
Mailing Fax Number 9204325966
Enumeration Date 2018-11-27
Last Update Date 2018-11-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 4107 WI Behavioral Health & Social Service Providers

Other Providers JOHN CHESLOCK

NPI Name Taxonomy Address Enumeration
1790873370 John N Cheslock Optometrist 950 11th Ave, Longview, WA 98632-2504 2006-10-10

Office Location

Street Address 626 S IRWIN AVE
City GREEN BAY
State WI
Zip Code 54301-3304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194842880 Family Services of Northeast Wisconsin Case Management 626 S Irwin Ave, Green Bay, WI 54301-3304 2007-03-26
1790301414 Jodi Ann Strebel-dahl Counselor 626 S Irwin Ave, Green Bay, WI 54301-3304 2020-06-18
1346861556 Kristin C Kouba Social Worker 626 S Irwin Ave, Green Bay, WI 54301-3304 2020-04-28
1083273627 Brooke Daverveld Social Worker 626 S Irwin Ave, Green Bay, WI 54301-3304 2019-06-07
1457818429 Lydia Jones Counselor 626 S Irwin Ave, Green Bay, WI 54301-3304 2019-02-26
1053881607 Paige M Dorn Social Worker 626 S Irwin Ave, Green Bay, WI 54301 2018-11-27
1942721105 Jennifer J Marolt Counselor 626 S Irwin Ave, Green Bay, WI 54301-3304 2017-06-28
1407377633 Jenny M Bomber Counselor 626 S Irwin Ave, Green Bay, WI 54301-3304 2017-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
Find all providers in zip 54301

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902437932 Amanda Kay Harpt Counselor 516 Hilltop Dr, Green Bay, WI 54301-2718 2020-01-29
1649825159 Ashley L Scott Counselor 416 Crooks St, Green Bay, WI 54301-4529 2019-08-02
1215291950 Kristine Kay Sack Counselor 926 Willard Drive, Ste 136, Green Bay, WI 54304-5071 2012-06-27
1184717092 Catherine S.c. Mackenzie Counselor 444 South Adams St, Suite 6, Green Bay, WI 54301 2006-10-02
1730272642 Julie Ann Kruk Counselor 444 South Adams St., Suite 6, Green Bay, WI 54301 2006-10-02
1609972280 Suzette Carolyn-eve Diederich Counselor 3867 Robin Ln, Green Bay, WI 54313-4601 2006-09-15
1013562230 Sara Noel Wisneski Counselor 1061 W Mason St, Green Bay, WI 54303-1858 2019-08-05
1164952933 Rebecca Lou Rauens Counselor 1499 6th St, Green Bay, WI 54304-2252 2017-06-14
1932642592 Stacie M Koskinen Counselor 300 Crooks St, Green Bay, WI 54301-4527 2016-11-29
1477908812 Samantha Jane Mckenzie Counselor 1039 W Mason St, Green Bay, WI 54303-1842 2016-05-03
Find all providers in GREEN BAY

Competitor

Search similar providers

City GREEN BAY
Zip Code 54301

Improve Information

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Dataset Information

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.

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