Individual provider Active NPI

Chloe Lane Birkenthal

  • Case Manager/Care Coordinator
  • Madison, WI
National Provider Identifier
1063977981
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1320 Mendota St Ste 106
Madison, WI 53714-1096
Phone
(608) 228-7791
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P012958 NC
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1320 Mendota St Ste 106
Madison, WI 53714-1096

Mailing address

25 Kessel CT Ste 105
Madison, WI 53711-6227
Phone (608) 280-2700

Other practice location 1

233 S French Broad Ave
Asheville, NC 28801-3901
Phone (828) 254-0749

Other practice location 2

4 Doctors Park Ste J2
Asheville, NC 28801-4537
Phone (828) 254-0749

Other practice location 3

207 Queen St
Morganton, NC 28655-3341
Phone (828) 439-8191 ext. 8320

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

State licenses

LicenseStateTypeSpecialty
P012958NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Counseling & Wellness Center, PLLC PastSince Apr 1, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1063977981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 KESSEL CT STE 105",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537116227",
            "telephone_number": "608-280-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MENDOTA ST STE 106",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141096",
            "telephone_number": "608-228-7791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 S French Broad Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288013901",
            "country_code": "US",
            "telephone_number": "828-254-0749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Doctors Park Ste J2",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014537",
            "country_code": "US",
            "telephone_number": "828-254-0749",
            "fax_number": "828-254-0762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Queen St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553341",
            "country_code": "US",
            "telephone_number": "828-439-8191 x8320",
            "fax_number": "828-439-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRKENTHAL",
        "first_name": "CHLOE",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012958",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.