Active NPI
Tianna Abts
- Behavior Technician
- Green Bay, WI
National Provider Identifier
1053938142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1499 6TH St
Green Bay, WI 54304-2252 - Phone
- (920) 497-6161
- NPI assigned
- Jul 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Green Bay, WI
- NPI 1093869588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Counseling Inc | Current | Accepting new patients |
Locations
1499 6th St
Green Bay, WI 54304
Phone (920) 497-6161
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1499 6TH St
Green Bay, WI 54304-2252
Mailing address
1499 6TH St
Green Bay, WI 54304-2252
Phone (920) 497-6161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | autism@innovativecounseling.com |
NPI Registry JSON
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1053938142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 6TH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042252",
"telephone_number": "920-497-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 6TH ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543042252",
"telephone_number": "920-497-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABTS",
"first_name": "TIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "autism@innovativecounseling.com",
"affiliation": "N",
"endpointDescription": "autism@innovativecounseling.com",
"address_1": "1499 6th St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543042252",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
- Elizabeth Abegglen, MD
- Caleb Joseph Abfall, DDS
- Amber M Abraham, PA-C
- Clayton Edward Abts, MS LPC
- Jade Catherine Abts, NP
- Nicolas Fawzi Abujamra, DDS, MS
- Abundant Health Chiropractic, LLC
- Abundant Life Chiropractic LLC
- Abundant Life Counseling & Renewal Center LLC
- Academic Maternal-Fetal Medicine Consultants SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.