COUNTY OF BROWN (NPI# 1942305065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942305065 |
Entity Type | Organization |
Organization Name | COUNTY OF BROWN |
Other Organization Name | BROWN COUNTY COMMUNITY TREATMENT CENTER - CLINIC |
Practice Address |
3150 Gershwin Drive Green Bay WI 54311-5859 |
Practice Telephone | 9203914839 |
Practice Fax Number | 9203914870 |
Mailing Telephone | 9203914839 |
Mailing Fax Number | 9203914870 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2010-02-11 |
Authorized Official Name | MR. KEVIN P LUNOG (CLINICAL SUPPORT SERVICES UNIT COOR) |
Authorized Official Telephone | 9203916959 |
Authorized Official Credential | MS, LCSW, CADCII |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF BROWN |
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 | BLUE CROSS | 510142673068 | 01 |
WI | RAILROAD MEDICARE | CC6458 | 01 |
WI | 42186400 | 05 |
Other Name | Type Code |
---|---|
Brown County Community Treatment Center - Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144302282 | County of Brown | Public Health or Welfare | 1117 Center St, New Ulm, MN 56073-3255 | 2006-10-19 |
1801908975 | County of Brown | Psychiatric Hospital | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-08-31 |
1689944720 | County of Brown | Community/Behavioral Health | 111 N Jefferson St, Green Bay, WI 54301-5005 | 2012-01-06 |
1679747059 | County of Brown | Psychiatry & Neurology | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
1386818664 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
1134322787 | County of Brown | Public Health or Welfare | 610 S Broadway, Green Bay, WI 54303-1533 | 2007-06-08 |
1396811204 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-11-24 |
1386713352 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-11-06 |
1154422400 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-26 |
1275633687 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
Street Address |
3150 GERSHWIN DRIVE |
City | GREEN BAY |
State | WI |
Zip Code | 54311-5859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801908975 | County of Brown | Psychiatric Hospital | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-08-31 |
1871901058 | Danielle Dufresne | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-4328 | 2014-07-31 |
1205167426 | Mary Miceli-wink | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2010-01-28 |
1679707384 | Bethany A Robinson | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2009-05-08 |
1679747059 | County of Brown | Psychiatry & Neurology | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
1386818664 | County of Brown | Community/Behavioral Health | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-17 |
1467626994 | Amy C Ricker | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
1497929921 | Heather A Grasse | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-16 |
1427221381 | Randall W Keigley | Social Worker | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-10 |
1790958973 | Kevin P Lunog | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
Find all providers in zip 54311 |
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 |
1376769117 | Catholic Charities of The Diocese of Green Bay Inc | Clinic/Center | 1825 Riverside Drive, Green Bay, WI 54305-3825 | 2007-04-18 |
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 |
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 |
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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.