NPIMap

Organization Active NPI

Passageway, Inc. FRS-TR

  • Professional Counselor
  • Janesville, WI
National Provider Identifier
1821398736
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2864-125 Issued in WI
Legal business name
PASSAGEWAY, INC. FRS-TR
Practice address
3246 W Rollingwood Dr
Janesville, WI 53545-9030
Phone
(608) 563-5633
Fax
(608) 563-4122
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Kathleen M Miller, LPC CSAC ICSNPI 1265562037
Title
President/ Provider
Phone
(608) 563-5633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 15139-132 WI
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 15375-135 WI
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2864-125 WI Primary

Addresses

Primary practice location

3246 W Rollingwood Dr
Janesville, WI 53545-9030

Mailing address

3246 W Rollingwood Dr
Janesville, WI 53545-9030
Phone (608) 563-5633

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1821398736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 W ROLLINGWOOD DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535459030",
            "telephone_number": "608-563-5633",
            "fax_number": "608-563-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 W ROLLINGWOOD DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535459030",
            "telephone_number": "608-563-5633",
            "fax_number": "608-563-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGEWAY, INC. FRS-TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ PROVIDER",
        "authorized_official_telephone_number": "608-563-5633",
        "authorized_official_credential": "LPC CSAC ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15139-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15375-135",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2864-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.