Active NPI
John Paul Teske, LPC
- Professional Counselor
- Green Bay, WI
National Provider Identifier
1245215458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1047-125
- Practice address
- 3263 Eaton Rd
Green Bay, WI 54311-6830 - Phone
- (920) 433-6700
- Fax
- (920) 433-6738
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1047 | WI | |
| Professional Counselor | 101YP2500X | 1047-125 | WI | Primary |
Addresses
Primary practice location
3263 Eaton Rd
Green Bay, WI 54311-6830
Mailing address
PO Box 22040
Green Bay, WI 54305-2040
Phone (920) 445-7222
Other practice location 1
725 S Webster Ave
Green Bay, WI 54301-3500
Phone (920) 433-6073
Other practice location 2
301 E Saint Joseph St
Green Bay, WI 54301-2241
Phone (920) 433-6073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39779700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1047-125 | WI | MD | Professional Counselor |
| 1047 | WI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1245215458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22040",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052040",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 EATON RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116830",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6738"
}
],
"practiceLocations": [
{
"address_1": "725 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013500",
"country_code": "US",
"telephone_number": "920-433-6073",
"fax_number": "920-431-0333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 E Saint Joseph St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543012241",
"country_code": "US",
"telephone_number": "920-433-6073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESKE",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "1047",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "1047-125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39779700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.