Active NPI
Cathy J Augustine, CSAC
- Addiction (Substance Use Disorder) Counselor
- Sheboygan, WI
National Provider Identifier
1689989048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11559-132
- Practice address
- 615 S 8TH St
Sheboygan, WI 53081-4463 - Phone
- (920) 323-2188
- NPI assigned
- Aug 10, 2010
- Last updated
- Apr 2, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11559-132 | WI | Primary |
| Marriage & Family Therapist | 106H00000X | 326-228 | WI |
Addresses
Primary practice location
615 S 8TH St
Sheboygan, WI 53081-4463
Mailing address
1139 Twilight Dr
De Pere, WI 54115-1361
Phone (920) 338-9497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11559-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 326-228 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vivent Health Inc | Current | Accepting new patients | |
| Vivent Health Inc | Current | Accepting new patients |
Locations
1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568
1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800
648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Milwaukee, WI
- NPI 1982654091
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1770721607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1689989048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 TWILIGHT DR",
"city": "DE PERE",
"state": "WI",
"postal_code": "541151361",
"telephone_number": "920-338-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S 8TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814463",
"telephone_number": "920-323-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "CATHY",
"middle_name": "J",
"credential": "CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "11559-132",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "326-228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sheboygan, WI
- Assisted Living Concepts Inc (Terrace Estates)
- Associated Psychological Health Services
- Tara Janel Aston
- Athletic & Therapeutic Institute of Milwaukee, LLC
- Athletic & Therapeutic Institute of Milwaukee, LLC (ATI Physical Therapy)
- Julie Lea Augustine, P.A.
- McKenna Marie Augustine
- Aurora Health Care Central, Inc. (Aurora Sheboygan Memorial Medical Center)
- Aurora Health Care Central, Inc.
- Aurora Health Care Central, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.