COUNTY OF BROWN (NPI# 1154422400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154422400 |
| Entity Type | Organization |
| Organization Name | COUNTY OF BROWN |
| Other Organization Name | BROWN COUNTY COMMUNITY TREATMENT CENTER - CSP NONBILLING |
| 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 | 2006-09-26 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | MR. KEVIN LUNOG (CLINICAL SUPPORT SERVICES 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 | 251B00000X | Case Management | 2381 | WI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43428200 | 05 |
| Other Name | Type Code |
|---|---|
| Brown County Community Treatment Center - CSP Nonbilling | 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 |
| 1275633687 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
| 1538269949 | County of Brown | Home Health | 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1609101179 | Improved Living Services, LLC | Case Management | 999 N Military Ave, Green Bay, WI 54303-4409 | 2009-10-16 |
| 1194842880 | Family Services of Northeast Wisconsin | Case Management | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2007-03-26 |
| 1891142030 | Howe Community Resource Center | Case Management | 526 S Monroe Ave, Green Bay, WI 54301-4018 | 2016-05-18 |
| 1164889770 | Wing of Eagles Corp | Case Management | 217 N Madison St, Suite 4, Green Bay, WI 54301-5103 | 2016-01-27 |
| 1689908527 | Oneida Tribe of Indians of Wisconsin | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-24 |
| 1376877373 | Oneida Tribe of Indians | Case Management | 2640 W Point Rd, Green Bay, WI 54304-1344 | 2009-09-23 |
| 1275633687 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-25 |
| 1053411025 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-22 |
| 1316043870 | County of Brown | Case Management | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2006-09-15 |
| 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.