Baeten Counseling & Consultation Team, S.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7709-123 Issued in WI

Legal business name

BAETEN COUNSELING & CONSULTATION TEAM, S.C.

Practice address

2920 S Webster Ave
Green Bay, WI 54301-1594

Phone

(920) 217-3313

NPI assigned

Jun 8, 2014

Organization subpart

No

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

Authorized official

Name

Tina Marie Baeten, LCSW, CSAC,ICS

Title

Owner/Clinical Director

Phone

(920) 217-3313

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402185600000",
    "number": "1225441298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011594",
            "telephone_number": "920-217-3313",
            "fax_number": "920-217-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011594",
            "telephone_number": "920-217-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAETEN COUNSELING & CONSULTATION TEAM, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-08",
        "last_updated": "2014-06-08",
        "status": "A",
        "authorized_official_last_name": "BAETEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "920-217-3313",
        "authorized_official_credential": "LCSW, CSAC,ICS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "7709-123",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2075-132",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "15372-135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "844160017",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha Ann Backus, RN
• Eric J Bader, PT
• Melissa Elnora Bader, NP
• Paul N Baek, MD
• Mallory H Baerenwald, MS,RD,CD
• Brianna Lynn Baeten, PA
• Pamela C Baeten, M.D.
• Tina Marie Baeten, LCSW
• Kathleen J Bahler, MSSW ACSW LSW
• Michelle Bahrke, APNP

• Community/Behavioral Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2014; 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.