Gillian Taylor Kohlhoff, BA-SOCIAL WORK

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Practice address

199 County Road DF
Juneau, WI 53039-9512

Phone

(920) 386-3637

Fax

(920) 386-3533

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Gillian Taylor Kohlhoff Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1730749573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COUNTY DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399512",
            "telephone_number": "920-386-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399512",
            "telephone_number": "920-386-3637",
            "fax_number": "920-386-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLHOFF",
        "first_name": "GILLIAN",
        "middle_name": "TAYLOR",
        "credential": "BA-SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klarson@co.dodge.wi.us",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "199 County Road Df",
            "city": "Juneau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530399512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GILLIAN",
            "last_name": "KOHLHOFF",
            "middle_name": "TAYLOR",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Ann Johnson, LCSW, SAC-IT
• Emily Jorgensen
• Melissa Rose Josie, LCSW
• Juneau Chiropractic Center
• Hannah Keach
• Kelsey Kopiske
• Kimberly Ann Kunz, LPC, CSAC
• Nicole Lauth
• Ryan David Leclair, MSED
• Chloe Ruth Lehman

• Multi-Specialty Clinic/Center in Juneau, WI
• Providers in Juneau, WI by specialty
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.