Individual provider Active NPI

Brigitte Rae Novinska, SAC

  • Addiction (Substance Use Disorder) Counselor
  • Appleton, WI
National Provider Identifier
1770799017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15347-131 Issued in WI
Practice address
4000 W Spencer St
Appleton, WI 54914-4015
Phone
(920) 735-9010
Fax
(920) 735-9050
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15347-131 WI Primary

Addresses

Primary practice location

4000 W Spencer St
Appleton, WI 54914-4015

Mailing address

1738 E Audrey LN
Appleton, WI 54915-4723
Phone (920) 997-8161

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
15347-131WIMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770799017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 E AUDREY LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154723",
            "telephone_number": "920-997-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144015",
            "telephone_number": "920-735-9010",
            "fax_number": "920-735-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINSKA",
        "first_name": "BRIGITTE",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15347-131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.