Active NPI
Jo Nel Marie (Christianson) Prey
- Professional Counselor
- Oshkosh, WI
National Provider Identifier
1114074499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 488-125
- Practice address
- 2380 State Road 44
Suite a
Oshkosh, WI 54904-6442 - Phone
- (920) 230-2065
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 488-125 | WI | Primary |
Addresses
Primary practice location
2380 State Road 44
Suite a
Oshkosh, WI 54904-6442
Mailing address
845 Heritage TRL
Oshkosh, WI 54904-8009
Phone (920) 233-4464
Other names 1
- Ms. Jo Nel Marie Prey
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
| License | State | Type | Specialty |
|---|---|---|---|
| 488-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114074499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 HERITAGE TRL",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549048009",
"telephone_number": "920-233-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 STATE ROAD 44",
"address_2": "SUITE A",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046442",
"telephone_number": "920-230-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "(CHRISTIANSON) PREY",
"first_name": "JO NEL",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "488-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JO NEL",
"last_name": "PREY",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "MSE,LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.