Catholic Charities of the Diocese of Green Bay Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC

Practice address

1825 Riverside Drive
Green Bay, WI 54305-3825

Phone

(920) 272-8234

Fax

(920) 437-4067

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Karmen Lemke

Title

Director of Catholic Charities

Phone

(920) 272-8226

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catholic Charities Diocese of Green Bay Inc Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 28

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.

• Heather Marie Novak, CSAC, LPC, ICS

  • Professional Counselor
  • Green Bay, WI
  • NPI 1649671421
  Medicare reassignment NPD
• Susan Van Schaik, LPC

  • Professional Counselor
  • Green Bay, WI
  • NPI 1275345399
  Medicare reassignment NPD
• Amy Wetzler, MS, LPC, NCC

  • Mental Health Counselor
  • De Pere, WI
  • NPI 1700124146
  Medicare reassignment NPD
• Kim Lea Connelly

  • Registered Nurse
  • De Pere, WI
  • NPI 1326661323
  NPD
• Julie Ann Duffy, LPC

  • Professional Counselor
  • Greenville, WI
  • NPI 1679959316
  NPD
• Christi Fowler, MS, NCC, LPC

  • Professional Counselor
  • Lakewood, WI
  • NPI 1295471357
  NPD
• Ann M Gaylord, LMFT

  • Marriage & Family Therapist
  • Green Bay, WI
  • NPI 1609943364
  NPD
• Mikayla Marie Hix

  • Mental Health Counselor
  • Green Bay, WI
  • NPI 1124914908
  NPD
• Megan A Kaye, LPC

  • Professional Counselor
  • De Pere, WI
  • NPI 1457671638
  NPD
• Kathleen Mary Kowalke, LPC, CTRS

  • Professional Counselor
  • Green Bay, WI
  • NPI 1093564064
  NPD
• Maria Jean Lundin, LPC-IT

  • Professional Counselor
  • Green Bay, WI
  • NPI 1194675884
  NPD
• Thomas Nathaniel Pfister, LPC, CSAC

  • Professional Counselor
  • Menasha, WI
  • NPI 1801387329
  NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1376769117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23825",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543053825",
            "telephone_number": "920-272-8234",
            "fax_number": "920-437-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 RIVERSIDE DRIVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543053825",
            "telephone_number": "920-272-8234",
            "fax_number": "920-437-4067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1475 Opportunity Way",
            "address_purpose": "LOCATION",
            "city": "Menasha",
            "state": "WI",
            "postal_code": "549521293",
            "country_code": "US",
            "telephone_number": "920-272-8234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Hall Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541431062",
            "country_code": "US",
            "telephone_number": "715-735-7802",
            "fax_number": "651-323-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF GREEN BAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "DIRECTOR OF CATHOLIC CHARITIES",
        "authorized_official_telephone_number": "920-272-8226"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42167700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities Diocese of Green Bay Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Catholic Charities Diocese of Green Bay Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jean Marie Castaneda
• Robert Glenn Casteel, D.C.
• Carlos S Castillo, MD
• Castle Health and Wellness, LLC
• Armandina Castle
• Geffrey E Cavallin, MD
• Sue Cavallin, MA, CCC-SLP
• Lisa J Cavil, LPC
• CCC of East Green Bay (Crossroads Care Center of East Green Bay)
• CCC of West Green Bay LLC (Crossroads Care Center of West Green Bay)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.