NPIMap

Organization Active NPI

The Growing Tree Counseling & Wellness

  • Clinical Social Worker
  • Winneconne, WI
National Provider Identifier
1144531757
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE GROWING TREE COUNSELING & WELLNESS
Practice address
140 W Main St Ste a
Winneconne, WI 54986-9409
Phone
(920) 582-4000
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Audra A Eggum, MSW, LCSWNPI 1457566689
Title
Owner, Psychotherapist
Phone
(920) 582-4000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

140 W Main St Ste a
Winneconne, WI 54986-9409

Mailing address

140 W Main St
PO Box 486
Winneconne, WI 54986-9409
Phone (920) 582-4000

National Provider Directory

National Provider Directory

Locations

140 W Main St
Winneconne, WI 54986

140 W Main St
Ste A
Winneconne, WI 54986
Phone (920) 582-4000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1144531757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "address_2": "PO BOX 486",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869409",
            "telephone_number": "920-582-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST STE A",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869409",
            "telephone_number": "920-582-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROWING TREE COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "EGGUM",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-582-4000",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winneconne, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.