Integra Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INTEGRA COUNSELING SERVICES, INC.

Practice address

522 2ND St
Hudson, WI 54016-2512

Phone

(715) 386-9011

NPI assigned

Mar 19, 2007

Last updated

Jun 1, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill Carlson Zimmerman, PH.D.NPI 1912033770

Title

President

Phone

(715) 386-9011

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jill Carlson Zimmerman, PH.D., LMFT, LPC

  • Marriage & Family Therapist
  • Hudson, WI
  • NPI 1912033770
  Authorized official Same address or phone

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1164546446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 2ND ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162512",
            "telephone_number": "715-386-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 2ND ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540162512",
            "telephone_number": "715-386-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "CARLSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-386-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.