Green Bay Counseling, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREEN BAY COUNSELING, INC

Practice address

2301 Riverside Dr
Suite 8
Green Bay, WI 54301-1907

Phone

(920) 217-7547

NPI assigned

May 29, 2012

Last updated

May 29, 2012By 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

Carol Jean Burks, LPCNPI 1316070022

Title

Owner

Phone

(920) 217-7547

Specialties & licenses 1

Addresses

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.

• Carol Jean Burks, MS, LPC

  • Professional Counselor
  • Green Bay, WI
  • NPI 1316070022
  Authorized official Same address or phone

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1346500097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011907",
            "telephone_number": "920-217-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RIVERSIDE DR",
            "address_2": "SUITE 8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011907",
            "telephone_number": "920-217-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-217-7547",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Green Bay Dental Professionals LLC
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• Green Bay Emergency Medicine Services S.C.
• Green Bay Emergency Physicians, LLC
• Green Bay Emergency Physicians, LLC

• Community/Behavioral Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.