Organization Active NPI

Allemagne Counseling & Consultation Services,

Doing business as The EMDR Center For Relationships & Healing, LLC

  • Counseling Psychologist
  • Fitchburg, WI
National Provider Identifier
1033440227
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
761124 Issued in WI
Legal business name
ALLEMAGNE COUNSELING & CONSULTATION SERVICES,
Doing business as
The EMDR Center For Relationships & Healing, LLC
Practice address
2916 Marketplace Drive
Suite # 212
Fitchburg, WI 53719-5327
Phone
(608) 325-9500
Fax
(888) 345-6310
NPI assigned
Jan 27, 2010
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Kevin L Allemagne, PH.D.NPI 1437291705
Title
Owner
Phone
(608) 325-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 761124 WI Primary
Counseling Psychologist 103TC1900X 166000551 IL

Addresses

Primary practice location

2916 Marketplace Drive
Suite # 212
Fitchburg, WI 53719-5327

Mailing address

2916 Marketplace Drive
Suite # 212
Fitchburg, WI 53719-5327
Phone (608) 325-9500

Other identifiers 2

IdentifierTypeStateIssuer
761124OtherWIWISCONSIN LICENSE
166000551OtherILIL LICENSE

Other names 1

  • The EMDR Center For Relationships & Healing, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2916 Marketplace Dr
Ste 212
Fitchburg, WI 53719
Phone (608) 325-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1033440227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MARKETPLACE DRIVE",
            "address_2": "SUITE # 212",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195327",
            "telephone_number": "608-325-9500",
            "fax_number": "888-345-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 MARKETPLACE DRIVE",
            "address_2": "SUITE # 212",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537195327",
            "telephone_number": "608-325-9500",
            "fax_number": "888-345-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEMAGNE COUNSELING & CONSULTATION SERVICES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLEMAGNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-325-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "761124",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "166000551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE",
            "identifier": "761124",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "166000551",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The EMDR Center For Relationships & Healing, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.