Bruce Winkka, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1701 Dousman St
Green Bay, WI 54303-3211

Phone

(920) 498-8600

NPI assigned

Apr 4, 2008

Last updated

Apr 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1265605869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 ELIZA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013230",
            "telephone_number": "920-498-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DOUSMAN ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033211",
            "telephone_number": "920-498-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKKA",
        "first_name": "BRUCE",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39380500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Winburn, MD
• Brooke Winch, RD, CD
• Richard Windsor, MD
• Wing of Eagles Corp (Wings of Eagles Counseling Clinic)
• Wing of Eagles Corp (Wings Of Eagles Counseling Clinic)
• Elroy Winkler, RPH
• Jerry M Winkler, M.D.
• Nicholas Miles Winkler, LAT, CSCS
• Lisa J Winnekens, APNP
• Judy Winney

• Addiction (Substance Use Disorder) Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.