New Wellness Associates, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1669 Issued in WI

Legal business name

NEW WELLNESS ASSOCIATES, INC.

Practice address

2733 S Ridge Rd
Green Bay, WI 54304-5513

Phone

(920) 497-6200

Fax

(920) 497-3135

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Joann M Berken

Title

Office Manager

Phone

(920) 497-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Wellness Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly Marie Barrett, APSW

  • Social Worker
  • Kaukauna, WI
  • NPI 1811765100
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1275650673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045513",
            "telephone_number": "920-497-6200",
            "fax_number": "920-497-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045513",
            "telephone_number": "920-497-6200",
            "fax_number": "920-497-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WELLNESS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "BERKEN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "920-497-6200"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42174300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.