NPIMap

Organization Active NPI

Irene Corzo and Associates, LLC

  • Mental Health Counselor
  • Lake Geneva, WI
National Provider Identifier
1457714735
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
IRENE CORZO AND ASSOCIATES, LLC
Practice address
772 W Main St
Suite 203
Lake Geneva, WI 53147-1835
Phone
(262) 374-4970
NPI assigned
Apr 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Authorized official

Name
Irene Corzo, MA, LPCNPI 1023316809
Title
Owner
Phone
(262) 374-4970

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

772 W Main St
Suite 203
Lake Geneva, WI 53147-1835

Mailing address

772 W Main St
Suite 203
Lake Geneva, WI 53147-1835
Phone (262) 374-4970

National Provider Directory

National Provider Directory

Locations

121 E Calhoun St
Ste D
Woodstock, IL 60098

772 W Main St
Ste 203
Lake Geneva, WI 53147
Phone (262) 374-4970

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1457714735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471835",
            "telephone_number": "262-374-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 W MAIN ST",
            "address_2": "SUITE 203",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471835",
            "telephone_number": "262-374-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE CORZO AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "CORZO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-374-4970",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.