NPIMap

Organization Active NPI

Nett Work Family Counseling LLC

  • Adult Mental Health Clinic/Center
  • Sheboygan, WI
National Provider Identifier
1053406066
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1656 Issued in WI
Legal business name
NETT WORK FAMILY COUNSELING LLC
Practice address
2801 Calumet Dr
Sheboygan, WI 53083
Phone
(920) 451-6908
Fax
(920) 458-6439
NPI assigned
Oct 4, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mrs. Christine Marie Nett, LCSWNPI 1043322993
Title
LCSW Director
Phone
(920) 451-6908

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1656 WI Primary

Addresses

Primary practice location

2801 Calumet Dr
Sheboygan, WI 53083

Mailing address

2801 Calumet Dr
Sheboygan, WI 53083
Phone (920) 451-6908

Other identifiers 1

IdentifierTypeStateIssuer
42206900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000182 WI Part B Supplier - Clinic/Group Practice 5597849604 Receives reassigned benefits from 10 practitioners
Practice locations: Sheboygan, WI

National Provider Directory

National Provider Directory

Locations

2801 Calumet Dr
Sheboygan, WI 53083
Phone (920) 451-6908

3321 S 12th St
Sheboygan, WI 53081
Phone (920) 783-6201

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1053406066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53083",
            "telephone_number": "920-451-6908",
            "fax_number": "920-458-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CALUMET DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53083",
            "telephone_number": "920-451-6908",
            "fax_number": "920-458-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETT WORK FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "NETT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LCSW DIRECTOR",
        "authorized_official_telephone_number": "920-451-6908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WI",
            "license": "1656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42206900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.