JSR Therapeutic Consulting

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5280-125 Issued in WI

Legal business name

JSR THERAPEUTIC CONSULTING

Doing business as

Advanced Counseling and Consulting Services

Practice address

1370 S Commercial St
Neenah, WI 54956-4636

Phone

(920) 637-4089

Fax

(866) 491-1465

NPI assigned

Apr 18, 2017

Organization subpart

No

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

Authorized official

Name

Jeff Ryan, LPC,CSAC,CSIT

Title

Owner

Phone

(920) 637-4089

Specialties & licenses 1

Addresses

Other names 1

• Advanced Counseling and Consulting Services Doing business as

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1508390469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-637-4089",
            "fax_number": "866-491-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-637-4089",
            "fax_number": "866-491-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSR THERAPEUTIC CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-637-4089",
        "authorized_official_credential": "LPC,CSAC,CSIT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "5280-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Counseling and Consulting Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Elisberg, MD
• Julie A. Johnson, O.D.
• Natalie U Johnson, DPT
• Randall Roy Johnson, MD
• Maria T Joseph, PT, DPT
• Julie a. Wilcox
• Jenny Jun, M.D.
• Khalid S Kahook, M.D.,
• Ravneet Kaur Kaleka
• Kamila Homecare LLC

• Community/Behavioral Health Agency in Neenah, WI
• Providers in Neenah, 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 Apr 18, 2017; 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.