NPIMap

Organization Active NPI

Act XII Counseling and Ministry, Inc

  • Counseling Psychologist
  • Sheboygan, WI
National Provider Identifier
1346409018
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
L025526 Issued in WI
Legal business name
ACT XII COUNSELING AND MINISTRY, INC
Practice address
4023 N 47TH PL
Sheboygan, WI 53083-2554
Phone
(920) 459-8866
Fax
(920) 459-8866
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mrs. Jan Marie Frank
Title
Secretary/Treasurer
Phone
(920) 459-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X L025526 WI Primary

Addresses

Primary practice location

4023 N 47TH PL
Sheboygan, WI 53083-2554

Mailing address

4023 N 47TH PL
Sheboygan, WI 53083-2554
Phone (920) 459-8866

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1346409018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 N 47TH PL",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832554",
            "telephone_number": "920-459-8866",
            "fax_number": "920-459-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 N 47TH PL",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530832554",
            "telephone_number": "920-459-8866",
            "fax_number": "920-459-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT XII COUNSELING AND MINISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "920-459-8866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "L025526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.