Z Boost Performance

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013488 Issued in MI

Legal business name

Z BOOST PERFORMANCE

Practice address

1110 10TH Ave Ste L4
Menominee, MI 49858-3058

Phone

(906) 290-2444

Fax

(844) 270-0756

NPI assigned

Sep 21, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Marie Pada, LCPNPI 1104242528

Title

Owner/Professional Counselor

Phone

(906) 290-2444

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine M Pada, LPC

  • Professional Counselor
  • Marinette, WI
  • NPI 1104242528
  NPD Authorized official
• Geralyn Ann Hall, MSW LCSW LMSW

  • Clinical Social Worker
  • Menominee, MI
  • NPI 1306976840
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750890786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 10TH AVE STE L4",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583058",
            "telephone_number": "906-290-2444",
            "fax_number": "844-270-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 10TH AVE STE L4",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498583058",
            "telephone_number": "906-290-2444",
            "fax_number": "844-270-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z BOOST PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PADA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "906-290-2444",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013488",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Joy Weis
• Audrea Raina Williams, PA-C
• Amy J Wondergem
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08549)
• Teresa Marie Wright, QMHP, QIDP
• Cindy Zaharias
• Tim Frederic Zarling, LBSW
• Johanna Jean Zuehls, AU.D.

• Professional Counselor in Menominee, MI
• Providers in Menominee, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.