Synergy Counseling Services, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SYNERGY COUNSELING SERVICES, INC

Practice address

1415 East Green Bay St.
Suite 191
Shawano, WI 54166-3881

Phone

(715) 526-5466

Fax

(715) 526-5545

NPI assigned

Aug 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Neil C. Vanrossum, MS

Title

Director

Phone

(715) 526-5466

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy J. Flynn, M.S.

  • Social Worker
  • Shawano, WI
  • NPI 1588757405

  Counselor

  NPD (past)
• Laurie A. Knutzen, M.S.S.W

  • Social Worker
  • Neenah, WI
  • NPI 1205960077

  Counselor

  NPD (past)
• Julie Ann Kruk, LPC

  • Social Worker
  • Green Bay, WI
  • NPI 1730272642

  Counselor

  NPD (past)
• Charles E Lamarche, ACSW LCSW

  • Counselor
  • Shawano, WI
  • NPI 1265526305
  NPD (past)
• Kelly Ann Maas, MSE, LPC, SAS

  • Counselor
  • Shawano,, WI
  • NPI 1992886162
  NPD (past)
• Catherine S.C. Mackenzie, MA LCSW

  • Mental Health Counselor
  • Green Bay, WI
  • NPI 1184717092
  NPD (past)
• Elizabeth A Montour, MSW

  • Counselor
  • Shawano, WI
  • NPI 1629162771
  NPD (past)
• Julia T. Witt, LPC

  • Professional Counselor
  • Appleton, WI
  • NPI 1912087784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1033127444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EAST GREEN BAY ST.",
            "address_2": "SUITE 191",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663881",
            "telephone_number": "715-526-5466",
            "fax_number": "715-526-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 EAST GREEN BAY ST.",
            "address_2": "SUITE 191",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663881",
            "telephone_number": "715-526-5466",
            "fax_number": "715-526-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "VANROSSUM",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-526-5466",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "1895",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "1896",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "1894",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1802057",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42225900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42196300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42196400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42175300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amy Stuber, D.C.
• Gene Anthony Stuber
• Sweetgrass Behavioral Health
• William P Swetlik, D.D.S., M.S.
• Gregory Thatcher, MD
• Patricia Ann Thatcher, P.T.
• Thedacare Medical Center - Shawano, Inc.
• Thedacare Medical Center - Shawano, Inc.
• Thedacare Medical Center - Shawano, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Shawano, WI
• Providers in Shawano, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.