Greentree Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3556-123 Issued in WI

Legal business name

GREENTREE COUNSELING LLC

Practice address

160 E Geneva SQ
Lake Geneva, WI 53147-9694

Phone

(262) 249-0830

Fax

(262) 249-0835

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Craig Alan Luebke, MSW, LCSW

Title

Owner

Phone

(262) 249-0830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1801026935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "ZENDA",
            "state": "WI",
            "postal_code": "531950100",
            "telephone_number": "262-249-0830",
            "fax_number": "262-249-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E GENEVA SQ",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531479694",
            "telephone_number": "262-249-0830",
            "fax_number": "262-249-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "LUEBKE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-249-0830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3556-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39637100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Gorenc, MSW
• Marc F Gorski, PHARMD
• Samantha Gray, MA
• James J Greenberg, M.D.
• Timothy Greene, P.T.
• Tara M. Grocholski, PT
• Tracy Grossman, LMT
• Denia Guerrero, LPN
• Kelli Ann Gursky, DPT
• Susan M Hagnell, MD

• Clinical Social Worker in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.