Organization Active NPI

Pickering Counseling & Consulting, Inc.

  • Community/Behavioral Health Agency
  • Superior, WI
National Provider Identifier
1174995146
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8063-123 Issued in WI
Legal business name
PICKERING COUNSELING & CONSULTING, INC.
Practice address
1728 Tower Ave
Superior, WI 54880-2543
Phone
(218) 428-2251
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Delorr Pickering, MSW, LCSW, LICSW
Title
President
Phone
(218) 428-2251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8063-123 WI Primary
Community/Behavioral Health Agency 251S00000X 12371 MN

Addresses

Primary practice location

1728 Tower Ave
Superior, WI 54880-2543

Mailing address

1124 N 22ND St
Superior, WI 54880-5004
Phone (218) 428-2251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1174995146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 N 22ND ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805004",
            "telephone_number": "218-428-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802543",
            "telephone_number": "218-428-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKERING COUNSELING & CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "PICKERING",
        "authorized_official_first_name": "DELORR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-428-2251",
        "authorized_official_credential": "MSW, LCSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "8063-123",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "12371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.