Kenneth Ginlack, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15698-132 Issued in WI

Practice address

2573 N 52ND St
Milwaukee, WI 53210-2730

Phone

(414) 236-0083

NPI assigned

Jul 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Serenity Inns Inc

  • Substance Abuse Rehabilitation Facility
  • Milwaukee, WI
  • NPI 1487417481

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1104171479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 N 52ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102730",
            "telephone_number": "414-236-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 N 52ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102730",
            "telephone_number": "414-236-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINLACK",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15698-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Kent Gimbel, MD
• Leslie M Gimenez, MD
• David J Gingrass, DDS
• Jarod Paul Gingreau, RPH
• Paul Ginkel, M.D.
• James F Ginter, PA-C
• Margaret M. Gintoft, LCSW
• Gila Chaya Ginzburg, MD
• Paige F. Gioia, PA-C
• Jessica Giombi

• Addiction (Substance Use Disorder) Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.