Active NPI
Ew Counseling, Inc.
- Addiction (Substance Use Disorder) Counselor
- Kenosha, WI
National Provider Identifier
1265673412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2106-132
- Legal business name
- EW COUNSELING, INC.
- Practice address
- 5407 8TH Ave
Kenosha, WI 53140-3715 - Phone
- (262) 412-0670
- NPI assigned
- Mar 18, 2009
- 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
- Ms. Eileen G. Warren, CSAC, ICS
- Title
- Director
- Phone
- (262) 412-0670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2106-132 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11581-134 | WI |
Addresses
Primary practice location
5407 8TH Ave
Kenosha, WI 53140-3715
Mailing address
5407 8TH Ave
Kenosha, WI 53140-3715
Phone (262) 412-0670
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609076322 | Other | WI | INDIVIDUAL |
| 1083813224 | Other | WI | GROUP |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237334400000",
"number": "1265673412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531403715",
"telephone_number": "262-412-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 8TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531403715",
"telephone_number": "262-412-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EW COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "262-412-0670",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CSAC, ICS"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "2106-132",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11581-134",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL",
"identifier": "1609076322",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP",
"identifier": "1083813224",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.