James Tary Kirsch, M.S., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3373-125 Issued in WI

Practice address

2733 S Ridge Rd
Green Bay, WI 54304-5513

Phone

(920) 497-6200

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407933963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 WYANDOT TRL",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "543136789",
            "telephone_number": "920-490-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045513",
            "telephone_number": "920-497-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "JAMES",
        "middle_name": "TARY",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3373-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40952000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "3373-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lyn Kirchman, SLP
• Alexander L Kirchner, DC
• Jeffrey Alan Kirchner, RPH
• Kirk Fishbaugh Dentistry, LTD.
• Andrew John Kirkpatrick, MD
• John P Kiser, MD
• Kismet Advocacy LLC
• Thomas Kissner
• Sarah Kitchen
• Lynn M Kitslaar, RD

• Professional Counselor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.