Active NPI
Good Therapy Counseling and Consulting LLC
- Clinical Social Worker
- Appleton, WI
National Provider Identifier
1225763261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GOOD THERAPY COUNSELING AND CONSULTING LLC
- Practice address
- 611 N Lynndale Dr Ste 190
Appleton, WI 54914-3044 - Phone
- (920) 238-3030
- NPI assigned
- Jul 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim M Witkowski, LCSW
- Title
- Social Worker
- Phone
- (608) 513-3769
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
611 N Lynndale Dr Ste 190
Appleton, WI 54914-3044
Mailing address
1230 County Road II
Neenah, WI 54956-1951
Phone (608) 513-3769
National Provider Directory
National Provider DirectoryLocations
611 N Lynndale Dr
Ste 190
Appleton, WI 54914
Phone (920) 238-3030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1225763261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 COUNTY ROAD II",
"city": "NEENAH",
"state": "WI",
"postal_code": "549561951",
"telephone_number": "608-513-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N LYNNDALE DR STE 190",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143044",
"telephone_number": "920-238-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD THERAPY COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "WITKOWSKI",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "608-513-3769",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.