Adaptive Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1809-123 Issued in WI

Legal business name

ADAPTIVE COUNSELING LLC

Practice address

2211 Oregon St Ste a-2
Oshkosh, WI 54902-7001

Phone

(920) 410-7364

Fax

(920) 230-2898

NPI assigned

Nov 3, 2014

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula F. Harry, MS LCSW MBANPI 1528169034

Title

Provider

Phone

(920) 410-7364

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula F. Harry, LCSW

  • Mental Health Counselor
  • Oshkosh, WI
  • NPI 1528169034
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1295130276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE A-2",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-410-7362",
            "fax_number": "920-230-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 OREGON ST STE A-2",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027001",
            "telephone_number": "920-410-7364",
            "fax_number": "920-230-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPTIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "HARRY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "920-410-7364",
        "authorized_official_credential": "MS LCSW MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1809-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39655100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Oshkosh, WI
• Providers in Oshkosh, 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 Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.