Active NPI
Off-the-Track Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Omro, WI
National Provider Identifier
1619813136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- OFF-THE-TRACK COUNSELING LLC
- Practice address
- 7802 Quigley Rd
Omro, WI 54963-9368 - Phone
- (920) 500-0596
- NPI assigned
- Apr 27, 2026
- Last updated
- Apr 27, 2026
- 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
- Jordan Kaurin, LPC
- Title
- Owner
- Phone
- (920) 500-0596
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
7802 Quigley Rd
Omro, WI 54963-9368
Mailing address
222 Madison Ave
Omro, WI 54963-1459
Phone (920) 427-2598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100381399 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Omro, WI
- NPI 1194604223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1619813136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MADISON AVE",
"city": "OMRO",
"state": "WI",
"postal_code": "549631459",
"telephone_number": "920-427-2598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7802 QUIGLEY RD",
"city": "OMRO",
"state": "WI",
"postal_code": "549639368",
"telephone_number": "920-500-0596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OFF-THE-TRACK COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "KAURIN",
"authorized_official_first_name": "JORDAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-500-0596",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100381399",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omro, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.