NPIMap

Organization Active NPI

Oneida Nation

Doing business as Ka Ni Kuhli Yo Family Center

  • Case Management Agency
  • Green Bay, WI
National Provider Identifier
1376877373
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6502-120 Issued in WI
Legal business name
ONEIDA NATION
Doing business as
Ka Ni Kuhli Yo Family Center
Practice address
2640 W Point Rd
Green Bay, WI 54304-1344
Phone
(920) 490-3790
NPI assigned
Sep 23, 2009
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mari Kriescher, MS, LPC, CSAC, ICSNPI 1629068192
Title
Manager
Phone
(920) 490-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 127487-121 WI
Case Management Agency 251B00000X 126984-121 WI
Case Management Agency 251B00000X 6502-120 WI Primary

Addresses

Primary practice location

2640 W Point Rd
Green Bay, WI 54304-1344

Mailing address

PO Box 365
Oneida, WI 54155-0365
Phone (920) 490-3790

Other identifiers 1

IdentifierTypeStateIssuer
1346230695MedicaidWI

Other names 1

  • Ka Ni Kuhli Yo Family Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oneida Nation12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the 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, 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": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1376877373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "ONEIDA",
            "state": "WI",
            "postal_code": "541550365",
            "telephone_number": "920-490-3790",
            "fax_number": "920-490-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 W POINT RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041344",
            "telephone_number": "920-490-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA NATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "KRIESCHER",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-490-3737",
        "authorized_official_credential": "MS, LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "127487-121",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "126984-121",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "6502-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346230695",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ka Ni Kuhli Yo Family Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ka Ni Kuhli Yo Family Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.