Individual provider Active NPI

Cathy J Augustine, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Sheboygan, WI
National Provider Identifier
1689989048
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11559-132 Issued in WI
Practice address
615 S 8TH St
Sheboygan, WI 53081-4463
Phone
(920) 323-2188
NPI assigned
Aug 10, 2010
Last updated
Apr 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312004095 WI Practitioner - Mental Health Counselor 6709222763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11559-132WIMDAddiction (Substance Use Disorder) Counselor
326-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc CurrentSince Jan 1, 2024 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.

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

Sources for this page

Verify at the official NPI Registry.