NPIMap

Organization Active NPI

Nova Counseling Services Inc.

  • Substance Abuse Rehabilitation Facility
  • Oshkosh, WI
National Provider Identifier
1386789535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1710 Issued in WI
Legal business name
NOVA COUNSELING SERVICES INC.
Practice address
3240 Jackson St
Oshkosh, WI 54901-1208
Phone
(920) 231-0143
Fax
(920) 231-4246
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marcia Larson
Title
Executive Director
Phone
(920) 231-0143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1710 WI Primary

Addresses

Primary practice location

3240 Jackson St
Oshkosh, WI 54901-1208

Mailing address

3240 Jackson St
Oshkosh, WI 54901-1208
Phone (920) 231-0143

National Provider Directory

National Provider Directory

Locations

3240 Jackson St
Oshkosh, WI 54901
Phone (800) 298-8170

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386789535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011208",
            "telephone_number": "920-231-0143",
            "fax_number": "920-231-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 JACKSON ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549011208",
            "telephone_number": "920-231-0143",
            "fax_number": "920-231-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-231-0143"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WI",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.