Bayshore Counseling Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1951-125 Issued in WI

Legal business name

BAYSHORE COUNSELING NETWORK

Practice address

2345 E Mason St
Green Bay, WI 54302-3764

Phone

(920) 469-8890

Fax

(920) 406-3909

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Mari C Martin, MSENPI 1760509855

Title

Psychotherapist

Phone

(920) 469-8890

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mari C Martin, MSE

  • Mental Health Counselor
  • Green Bay, WI
  • NPI 1760509855
  NPD (past) Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1437336583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023764",
            "telephone_number": "920-469-8890",
            "fax_number": "920-406-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023764",
            "telephone_number": "920-469-8890",
            "fax_number": "920-406-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSHORE COUNSELING NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-469-8890",
        "authorized_official_credential": "MSE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1951-125",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "13018-020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42210300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baycare Clinic, LLP
• Baycare Clinic, LLP
• Alyssa Rose Baye, MS, MFT-IT
• Gerald K Bayer, M.D.
• Baylakes Center for Complex Dentistry SC
• Taylor Beadles
• Maura T Beardsley, PA-C
• Courtney R Beaudette, APNP
• Rebecca Lorraine Beaumia, NP
• Deanne Marie Beaumier, APSW

• Community/Behavioral Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.