Pauline E Ortloff, BS, CSAC, ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10709-132 Issued in WI

Practice address

1717 Taylor Avenue
Racine, WI 53403

Phone

(262) 638-6744

Fax

(262) 638-6540

NPI assigned

Jun 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1639608698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13922 WILMOT RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 TAYLOR AVENUE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "53403",
            "telephone_number": "262-638-6744",
            "fax_number": "262-638-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTLOFF",
        "first_name": "PAULINE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "BS, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "10709-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina K Olsen, RDN
• Brittany Olson, APNP
• Nicholas Omdahl, MD
• Optical Dept. of Eye Clinic of Racine, LTD.
• Crystil Marie Orellana
• Chase Oshiro, DMD
• Edward J Oshiro, D.D.S.
• Osl 3950 Racine Operating LLC
• Outreach 4 Healthy Teeth, LLC
• Outreach Community Health Centers Inc

• Addiction (Substance Use Disorder) Counselor in Racine, WI
• Providers in Racine, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.