Active NPI
Tomahawk Counseling Center
- Addiction (Substance Use Disorder) Counselor
- Green Bay, WI
National Provider Identifier
1447466065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2394
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1124246897
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.