Organization Active NPI

Linda Schwallie LLC

  • Marriage & Family Therapist
  • Green Bay, WI
National Provider Identifier
1578814026
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
67-124 Issued in WI
Legal business name
LINDA SCHWALLIE LLC
Practice address
926 Willard Dr
Green Bay, WI 54304-5071
Phone
(920) 621-3036
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Ms. Linda Schwallie, LMFT
Title
Owner
Phone
(920) 621-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 67-124 WI Primary

Addresses

Primary practice location

926 Willard Dr
Green Bay, WI 54304-5071

Mailing address

122 Miramar Dr
Green Bay, WI 54301-1924
Phone (920) 621-3036

National Provider Directory

National Provider Directory

Locations

926 Willard Dr
Green Bay, WI 54304
Phone (920) 621-3036

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1578814026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MIRAMAR DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011924",
            "telephone_number": "920-621-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 WILLARD DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045071",
            "telephone_number": "920-621-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA SCHWALLIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "SCHWALLIE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-621-3036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "67-124",
            "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 Sep 24, 2012; 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.