Organization Active NPI

Tomahawk Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Green Bay, WI
National Provider Identifier
1447466065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2394 Issued in WI
Legal business name
TOMAHAWK COUNSELING CENTER
Practice address
1345 W Mason St Ste L8
Green Bay, WI 54303-2072
Phone
(920) 405-9701
NPI assigned
May 14, 2007
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
Kristi H Kovacs
Title
Owner
Phone
(920) 405-9701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 2394 WI Primary

Addresses

Primary practice location

1345 W Mason St Ste L8
Green Bay, WI 54303-2072

Mailing address

PO Box 12556
Green Bay, WI 54307-2556
Phone (920) 405-9701

National Provider Directory

National Provider Directory
Tax ID family
Tomahawk Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1345 W Mason St
Ste L8
Green Bay, WI 54303
Phone (920) 405-9701

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447466065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12556",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543072556",
            "telephone_number": "920-405-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W MASON ST STE L8",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032072",
            "telephone_number": "920-405-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAHAWK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOVACS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-405-9701"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2394",
            "primary": true
        }
    ],
    "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 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.