Active NPI
Jason Jeffrey Hoyt
- Counselor
- Two Rivers, WI
National Provider Identifier
1134825391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3120 Memorial Dr
Two Rivers, WI 54241-3229 - Phone
- (920) 657-1780
- Fax
- (920) 657-1784
- NPI assigned
- Jan 31, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3120 Memorial Dr
Two Rivers, WI 54241-3229
Mailing address
2404 Joyce St
Kaukauna, WI 54130-1362
Phone (715) 505-4087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7229-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Phoenix Behavioral Health Services, LLC | Counselor | Current | Accepting new patients |
| Bellin Psychiatric Center Inc | Current | Accepting new patients | |
| Bellin Psychiatric Center Inc. | Current | Accepting new patients |
Locations
301 Saint Joseph St
Green Bay, WI 54301
Phone (920) 430-3630
3120 Memorial Dr
Two Rivers, WI 54241
Phone (920) 657-1465
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1518929132
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1952554800
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1598728776
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Two Rivers, WI
- NPI 1871514778
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1134825391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 JOYCE ST",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541301362",
"telephone_number": "715-505-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 MEMORIAL DR",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542413229",
"telephone_number": "920-657-1780",
"fax_number": "920-657-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOYT",
"first_name": "JASON",
"middle_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-31",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Two Rivers, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.