NPIMap

Organization Active NPI

Greenbush Oaks, Inc

Doing business as Poynette Counseling & Psychotherapy Assoc

  • Clinical Social Worker
  • Poynette, WI
National Provider Identifier
1316190010
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2017-123 Issued in WI
Legal business name
GREENBUSH OAKS, INC
Doing business as
Poynette Counseling & Psychotherapy Assoc
Practice address
415 N Main St Ste 3
Poynette, WI 53955-8963
Phone
(608) 635-2146
Fax
(608) 635-7379
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Lorie A Goeser, CSAC
Title
Owner
Phone
(608) 635-2146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1169-132 WI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2017-123 WI Primary

Addresses

Primary practice location

415 N Main St Ste 3
Poynette, WI 53955-8963

Mailing address

415 N Main St Ste 3
Poynette, WI 53955-8963
Phone (608) 635-2146

Other names 1

  • Poynette Counseling & Psychotherapy Assoc Doing business as

National Provider Directory

National Provider Directory

Locations

4915 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 222-2146

415 N Main St
Ste 3
Poynette, WI 53955
Phone (608) 635-2146

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1316190010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST STE 3",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558963",
            "telephone_number": "608-635-2146",
            "fax_number": "608-635-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST STE 3",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558963",
            "telephone_number": "608-635-2146",
            "fax_number": "608-635-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBUSH OAKS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "GOESER",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-635-2146",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1169-132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2017-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poynette Counseling & Psychotherapy Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poynette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.