Active NPI
Allie Hurrish
- Professional Counselor
- De Pere, WI
National Provider Identifier
1164239281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10738
- Practice address
- 3301 Packerland Dr Ste B
De Pere, WI 54115-9533 - Phone
- (920) 234-9240
- Fax
- (920) 364-6096
- NPI assigned
- Dec 12, 2024
- 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 | 10738 | WI | Primary |
Addresses
Primary practice location
3301 Packerland Dr Ste B
De Pere, WI 54115-9533
Mailing address
424 E Longview Dr
Appleton, WI 54911-2167
Phone (920) 234-9240
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
114 W 9TH St
Kaukauna, WI 54130-2714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCP Clinic, LLC | Professional | Current | Accepting new patients |
Locations
424 E Longview Dr
Appleton, WI 54911
Phone (920) 234-9240
3301 Packerland Dr
Ste B
De Pere, WI 54115
Phone (920) 234-9240
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1164239281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 E LONGVIEW DR",
"city": "APPLETON",
"state": "WI",
"postal_code": "549112167",
"telephone_number": "920-234-9240",
"fax_number": "920-364-6096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 PACKERLAND DR STE B",
"city": "DE PERE",
"state": "WI",
"postal_code": "541159533",
"telephone_number": "920-234-9240",
"fax_number": "920-364-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURRISH",
"first_name": "ALLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.