Active NPI
Chad J Baudhuin, MA, MDIV, LPC
- Mental Health Counselor
- Green Bay, WI
National Provider Identifier
1639971633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3281-125
- Practice address
- 2701 Larsen Rd
Green Bay, WI 54303-4863 - Phone
- (920) 362-5027
- NPI assigned
- Mar 27, 2025
- Last updated
- Mar 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3281-125 | WI | Primary |
Addresses
Primary practice location
2701 Larsen Rd
Green Bay, WI 54303-4863
Mailing address
352 Orchard LN
Green Bay, WI 54301-2869
Phone (920) 362-5027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3281-125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1639971633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 ORCHARD LN",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543012869",
"telephone_number": "920-362-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 LARSEN RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034863",
"telephone_number": "920-362-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDHUIN",
"first_name": "CHAD",
"middle_name": "J",
"credential": "MA, MDIV, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "3281-125",
"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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.