INNOVATIVE COUNSELING INC (NPI# 1093869588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093869588 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE COUNSELING INC |
| Practice Address |
1499 6th St Innovative Counseling Inc Green Bay WI 54304-2252 |
| Practice Telephone | 9204976161 |
| Practice Fax Number | 9204980476 |
| Mailing Telephone | 9204976161 |
| Mailing Fax Number | 9204980476 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | MS. CYNTHIA RAE THOMAS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9204976161 |
| Authorized Official Credential | MSW ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2283 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42207500 | 05 | |
| WI | WI1391 | 05 |
| Street Address |
1499 6TH ST INNOVATIVE COUNSELING INC |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302196 | Katrina Verhagen | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-30 |
| 1134733595 | Kayla Testroete | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-09-03 |
| 1609485846 | Taylor Beadles | Behavioral Analyst | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-23 |
| 1053938142 | Tianna Abts | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-07-06 |
| 1447886635 | Rachel Gregory | Social Worker | 1499 6th St, Green Bay, WI 54304-2252 | 2020-03-19 |
| 1326688466 | Kristie Durst | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2020-01-07 |
| 1659915130 | Claire Schrier | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1285278630 | Nicholas Hugo | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-29 |
| 1801439336 | Elizabeth Oberndorfer | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| 1073156501 | Valyssa Biese | Behavior Technician | 1499 6th St, Green Bay, WI 54304-2252 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043725922 | Healthy Hope Counseling LLC | Community/Behavioral Health | 916 Willard Dr Ste 136, Green Bay, WI 54304-6223 | 2017-12-13 |
| 1801283494 | Abundant Life Counseling & Renewal Center LLC | Community/Behavioral Health | 1221 Bellevue St Ste 113, Green Bay, WI 54302-2155 | 2015-04-21 |
| 1609015569 | Occupational Health Services Inc. | Community/Behavioral Health | 2688 Vissers Ct, Green Bay, WI 54313-5856 | 2009-02-16 |
| 1417107590 | New Hope Counseling Center of Wi, Inc. | Community/Behavioral Health | 3021 Holmgren Way, #203, Green Bay, WI 54304-6302 | 2008-09-24 |
| 1699948471 | Robyn Rickert & Associates, LLC | Community/Behavioral Health | 130 E Walnut St Ste 406, Green Bay, WI 54301-4231 | 2008-04-11 |
| 1497818454 | Christian Counseling Ministries, Inc. | Community/Behavioral Health | 2150 Memorial Dr, Suite #213, Green Bay, WI 54303-6335 | 2006-12-19 |
| 1063985620 | Mamma Gese | Community/Behavioral Health | 217 N Madison St Ste 4, Green Bay, WI 54301-5103 | 2019-01-07 |
| 1598117822 | Generations Community Services | Community/Behavioral Health | 217 N Madison St, Suite 5, Green Bay, WI 54301-5103 | 2016-07-11 |
| 1871972349 | Innovative Wisconsin, LLC | Community/Behavioral Health | 445 S Madison St, Green Bay, WI 54301-4101 | 2015-05-29 |
| 1225441298 | Baeten Counseling & Consultation Team, S.c. | Community/Behavioral Health | 2920 S Webster Ave, Green Bay, WI 54301-1594 | 2014-06-08 |
| Find all providers in GREEN BAY | ||||
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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.