Individual provider Active NPI

Joseph Thomas Hurlburt, MS, LPC-IT

  • Professional Counselor
  • Menasha, WI
National Provider Identifier
1275220196
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
11522-125 Issued in WI
Practice address
1810 Appleton Rd
Menasha, WI 54952-1164
Phone
(920) 739-4226
Fax
(920) 432-5966
NPI assigned
Apr 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 7323 WI
Professional Counselor 101YP2500X 11522-125 WI Primary

Addresses

Primary practice location

1810 Appleton Rd
Menasha, WI 54952-1164

Mailing address

PO Box 22308
Green Bay, WI 54305-2308
Phone (920) 432-5966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828003425 WI Practitioner - Mental Health Counselor 6204337595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1814 Redwood LN
Madison, WI 53711-3332

PO Box
Detroit, MI 48277

PO Box
Suite 22308
Green Bay, WI 54305

PO Box
Suite 22308
Green Bay, WI 54305-2308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11522-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Sep 2, 2025 Accepting new patients
Family Services of Northeast Wisconsin Inc CurrentSince Apr 23, 2023 Accepting new patients
Mental Health Solutions, S.C. CurrentSince Dec 1, 2025 Accepting new patients
Family Services of Northeast Wisconsin Inc CurrentSince Jul 16, 2025 Accepting new patients
Mental Health Solutions SC PastSince Dec 1, 2025 Accepting new patients

Locations

2923 Marketplace Dr
Ste 204
Fitchburg, WI 53719
Phone (608) 549-5781

7633 Ganser Way
Ste 204
Madison, WI 53719
Phone (608) 829-1800

1810 Appleton Rd
Menasha, WI 54952
Phone (920) 739-4226

26422 Oakridge Dr
Ste 106
Wind Lake, WI 53185

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756512000000",
    "number": "1275220196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22308",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052308",
            "telephone_number": "920-432-5966",
            "fax_number": "920-432-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521164",
            "telephone_number": "920-739-4226",
            "fax_number": "920-432-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBURT",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "MS, LPC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7323",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11522-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.