Individual provider Active NPI

Gabrielle Boehrig, LPC

  • Professional Counselor
  • Oshkosh, WI
National Provider Identifier
1124504287
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7741-125 Issued in WI
Practice address
222 Ohio St Ste B
Oshkosh, WI 54902-5825
Phone
(920) 517-7273
NPI assigned
Jul 12, 2018
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3986-226 WI
Professional Counselor 101YP2500X 7741-125 WI Primary

Addresses

Primary practice location

222 Ohio St Ste B
Oshkosh, WI 54902-5825

Mailing address

222 Ohio St Ste B
Oshkosh, WI 54902-5825

Other practice location 1

502 E New York Ave
Oshkosh, WI 54901-3938
Phone (920) 651-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730002829 WI Practitioner - Mental Health Counselor 8729595004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3986-226WIMDMental Health Counselor
7741-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gabrielle.boehrig.1@28621.direct.athenahealth.com
  • Direct secure messaging: gabrielle.boehrig@25254901.chartlogic.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1124504287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 OHIO ST STE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 OHIO ST STE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025825",
            "telephone_number": "920-517-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 E New York Ave",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549013938",
            "country_code": "US",
            "telephone_number": "920-651-1844",
            "fax_number": "920-651-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOEHRIG",
        "first_name": "GABRIELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3986-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7741-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.