KEVIN P LUNOG (NPI# 1790958973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790958973 |
| Entity Type | Individual |
| Full Name | KEVIN P LUNOG |
| Credential | LPC, LCSW |
| Practice Address |
3150 Gershwin Drive Green Bay WI 54311-5859 |
| Practice Telephone | 9203916959 |
| Practice Fax Number | 9203914870 |
| Mailing Telephone | 9203916959 |
| Mailing Fax Number | 9203914870 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1020 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3191 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39273700 | 05 |
| 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 |
| 1598934440 | Michael W Wilbert | Counselor | 3150 Gershwin Drive, Green Bay, WI 54311-5859 | 2008-02-25 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1811412521 | Karlye Krien | Counselor | 1061 W Mason St, Green Bay, WI 54303-1858 | 2017-08-03 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1205387271 | Anne Karjala-dobbins | Counselor | 1985 E Telemark Cir, Green Bay, WI 54313-4335 | 2016-10-14 |
| 1689026650 | Catherine Calo | Counselor | 529 Greene Ave, Green Bay, WI 54301-2819 | 2016-07-01 |
| 1225498983 | Michael Sherman Fentress | Counselor | 2711 Humboldt Rd Apt 2, Green Bay, WI 54311-8463 | 2016-02-24 |
| 1831566363 | Stephanie Birmingham | Counselor | 1900 Morrow St, #106, Green Bay, WI 54302-3479 | 2015-09-01 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1700272929 | Kerri Schmidt | Counselor | 916 Willard Drive, Suite #136, Green Bay, WI 54304-6223 | 2015-04-14 |
| 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.