Active NPI
Maxwell Cleveland
- Mental Health Counselor
- Green Bay, WI
National Provider Identifier
1043128697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9227226
- Practice address
- 3340 Lineville Rd
Green Bay, WI 54313-7237 - Phone
- (920) 264-9564
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9227226 | WI | Primary |
Addresses
Primary practice location
3340 Lineville Rd
Green Bay, WI 54313-7237
Mailing address
3340 Lineville Rd
Green Bay, WI 54313-7237
Phone (920) 264-9564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1043128697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 LINEVILLE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543137237",
"telephone_number": "920-264-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 LINEVILLE RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543137237",
"telephone_number": "920-264-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "MAXWELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "9227226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.