COUNTY OF BROWN


Address: 3150 Gershwin Drive, Green Bay, WI 54311-5859
Phone: 9203914839

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI BLUE CROSS 510142673068 01
WI RAILROAD MEDICARE CC6458 01
WI 42186400 05

Other Provider/Organization Names

Other Name Type Code
Brown County Community Treatment Center - Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3150 GERSHWIN DRIVE
City GREEN BAY
State WI
Zip Code 54311-5859

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City GREEN BAY
Zip Code 54311

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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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