Active NPI
Equipoise Professional Counseling and Personal Coaching, LLC
- Professional Counselor
- Green Bay, WI
National Provider Identifier
1396541942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- EQUIPOISE PROFESSIONAL COUNSELING AND PERSONAL COACHING, LLC
- Practice address
- 1208 S Monroe Ave
Green Bay, WI 54301-3002 - Phone
- (920) 327-2596
- NPI assigned
- Feb 24, 2025
- Last updated
- Feb 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W Paluch, RN (BSN) LPC (MS)
- Title
- Registered Agent
- Phone
- (920) 327-2596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X |
Addresses
Primary practice location
1208 S Monroe Ave
Green Bay, WI 54301-3002
Mailing address
1208 S Monroe Ave
Green Bay, WI 54301-3002
Phone (920) 327-2596
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Green Bay, WI
- NPI 1750528360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1396541942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 S MONROE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013002",
"telephone_number": "920-327-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 S MONROE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013002",
"telephone_number": "920-327-2596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EQUIPOISE PROFESSIONAL COUNSELING AND PERSONAL COACHING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "PALUCH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "920-327-2596",
"authorized_official_credential": "RN (BSN) LPC (MS)"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.