Active NPI
Brian John Lefeber, LPC
- Professional Counselor
- Appleton, WI
National Provider Identifier
1386875755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 236226
- Practice address
- 821 E 1St Ave Ste 2B
Appleton, WI 54911-1586 - Phone
- (920) 209-9194
- NPI assigned
- Aug 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 236226 | WI | Primary |
Addresses
Primary practice location
821 E 1St Ave Ste 2B
Appleton, WI 54911-1586
Mailing address
N2338 Holland Rd
Appleton, WI 54913-9210
Phone (920) 209-9194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236226 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Ministries LLC | Professional | Current | Accepting new patients |
Locations
821 E 1st Ave
Ste 2B
Appleton, WI 54911
Phone (920) 209-9194
W6254 US Highway 10 114
Menasha, WI 54952
Phone (920) 209-9194
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Appleton, WI
- NPI 1760854186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1386875755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2338 HOLLAND RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139210",
"telephone_number": "920-209-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E 1ST AVE STE 2B",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111586",
"telephone_number": "920-209-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFEBER",
"first_name": "BRIAN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-04",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "236226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.