Organization Active NPI

Jenuine Courage Counseling, LLC

  • Professional Counselor
  • Menasha, WI
National Provider Identifier
1639838162
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JENUINE COURAGE COUNSELING, LLC
Practice address
1477 Kenwood Dr Ste 200
Menasha, WI 54952-1160
Phone
(920) 486-5087
Fax
(920) 243-0340
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Jennifer Helene Olkowski, LPC, CSACNPI 1992841795
Title
Owner
Phone
(920) 486-5087

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1477 Kenwood Dr Ste 200
Menasha, WI 54952-1160

Mailing address

728 Applewood Dr
Kimberly, WI 54136-2325
Phone (920) 410-0002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1639838162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 APPLEWOOD DR",
            "city": "KIMBERLY",
            "state": "WI",
            "postal_code": "541362325",
            "telephone_number": "920-410-0002",
            "fax_number": "920-243-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 KENWOOD DR STE 200",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521160",
            "telephone_number": "920-486-5087",
            "fax_number": "920-243-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENUINE COURAGE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "OLKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HELENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-486-5087",
        "authorized_official_credential": "LPC, CSAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.