Organization Active NPI

Holstead Consulting Services

  • School Psychologist
  • Green Bay, WI
National Provider Identifier
1114596921
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Legal business name
HOLSTEAD CONSULTING SERVICES
Doing business as
Holstead Outpatient Psych Evaluation (HOPE) & Counseling Clinic
Practice address
1050 Circle Dr Ste B
Green Bay, WI 54304-5569
Phone
(920) 393-7971
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Jenell HolsteadNPI 1801477377
Title
Owner/Psychologist
Phone
(920) 544-2780

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
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X Primary

Addresses

Primary practice location

1050 Circle Dr Ste B
Green Bay, WI 54304-5569

Mailing address

1050 Circle Dr Ste B
Green Bay, WI 54304-5569

Other names 1

  • Holstead Outpatient Psych Evaluation (HOPE) & Counseling Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1114596921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CIRCLE DR STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CIRCLE DR STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045569",
            "telephone_number": "920-393-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTEAD CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HOLSTEAD",
        "authorized_official_first_name": "JENELL",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "920-544-2780"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holstead Outpatient Psych Evaluation (HOPE) & Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holstead Outpatient Psych Evaluation (HOPE) & Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.