Organization Active NPI

JNG Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Appleton, WI
National Provider Identifier
1215436258
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JNG COUNSELING LLC
Practice address
424 E Longview Dr Ste a
Appleton, WI 54911
Phone
(920) 234-9240
NPI assigned
Feb 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Jaclyn Geitner, LCSW
Title
Owner
Phone
(651) 491-1346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

424 E Longview Dr Ste a
Appleton, WI 54911

Mailing address

424 E Longview Dr Ste a
Appleton, WI 54911-2167
Phone (920) 234-9240

National Provider Directory

National Provider Directory

Locations

424 E Longview Dr
Ste A
Appleton, WI 54911
Phone (920) 234-9240

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1215436258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-234-9240",
            "fax_number": "920-335-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-234-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "GEITNER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-491-1346",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.