Individual provider Active NPI

Catherine Calo, LPC

  • Professional Counselor
  • Green Bay, WI
National Provider Identifier
1689026650
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2825-226 Issued in WI
Practice address
529 Greene Ave
Green Bay, WI 54301-2819
Phone
(906) 250-6147
NPI assigned
Jul 1, 2016
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401015458 MI
Professional Counselor 101YP2500X 2825-226 WI Primary

Addresses

Primary practice location

529 Greene Ave
Green Bay, WI 54301-2819

Mailing address

208 Saint Matthews St
Green Bay, WI 54301-1817
Phone (906) 250-6147

Other practice location 1

814 W Ludington St
Iron Mountain, MI 49801-2604
Phone (906) 250-6147

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

State licenses

LicenseStateTypeSpecialty
6401015458MIMDProfessional Counselor
2825-226WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1689026650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SAINT MATTHEWS ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011817",
            "telephone_number": "906-250-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 GREENE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012819",
            "telephone_number": "906-250-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 W Ludington St",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498012604",
            "country_code": "US",
            "telephone_number": "906-250-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALO",
        "first_name": "CATHERINE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015458",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2825-226",
            "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 May 6, 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.