Craig Barnekow, MS
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Madison, WI
NPI 1669691978 · NPPES record last updated Oct 27, 2007
Key facts
- NPI
- 1669691978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 11837 (WI)
- Practice address
- 25 Kessel Court
Suite 200
Madison, WI 53711 - Phone
- (608) 278-8200
- Fax
- (608) 278-8204
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11837 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11837 | WI | Yes |
| Mental Health Counselor | 101YM0800X | 2683 | WI |
Addresses
Primary practice location
25 Kessel Court
Suite 200
Madison, WI 53711
Mailing address
25 Kessel CT
Suite 200
Madison, WI 53711-6227
Phone (608) 278-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39767600 | Medicaid | WI |
Other providers in Madison, WI
- Jill Barker
- Nancy E Barklage
- Byron Barksdale Jr.
- Sheila R Barmore
- Mary T Barnard-Feit
- Alicia Noel Barnes
- Jessica Barnes
- Julia Barnes
- Mary P Barnett-Lewis
- Melissa Ann Barnett
All providers in Madison, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.