NPIMap

Organization Active NPI

Wellness Counseling Center, L.L.C.

  • Mental Health Counselor
  • Appleton, WI
National Provider Identifier
1649354077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1982 Issued in WI
Legal business name
WELLNESS COUNSELING CENTER, L.L.C.
Practice address
103 W College Ave
Suite 815
Appleton, WI 54911-5770
Phone
(920) 733-1992
Fax
(920) 733-1866
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cary Backenger, MS,CADAIII,CEDS,LPCNPI 1104960376
Title
Partner/Psycho Therapist
Phone
(920) 733-1992

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1982 WI Primary

Addresses

Primary practice location

103 W College Ave
Suite 815
Appleton, WI 54911-5770

Mailing address

103 W College Ave
Suite 815
Appleton, WI 54911-5770
Phone (920) 733-1992

National Provider Directory

National Provider Directory

Locations

103 W College Ave
Appleton, WI 54911
Phone (920) 733-1992

103 W College Ave
Ste 815
Appleton, WI 54911
Phone (920) 733-1992

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649354077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115770",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115770",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COUNSELING CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACKENGER",
        "authorized_official_first_name": "CARY",
        "authorized_official_title_or_position": "PARTNER/PSYCHO THERAPIST",
        "authorized_official_telephone_number": "920-733-1992",
        "authorized_official_credential": "MS,CADAIII,CEDS,LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.