The Salvation Army

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

THE SALVATION ARMY

Practice address

The Salvation Army Ray & Joan Kroc Center
1315 Lime Kiln Road
Green Bay, WI 54311

Phone

(920) 544-4975

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer L Henry, MSW, CSAC, ICS

Title

Program Accountability Director

Phone

(414) 302-4300

Specialties & licenses 5

Addresses

Tax ID family

The Salvation Army5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Salvation Army - Wisconsin and Upper Michigan

  • Registered Nurse
  • Milwaukee, WI
  • NPI 1467931691
  NPD tax ID
• Salvation Army

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
  • NPI 1336453182
  NPD tax ID
• Salvation Army Adult Day Health Center

  • Adult Day Care Clinic/Center
  • Mason City, IA
  • NPI 1871705046
  NPD tax ID
• The Salvation Army

  • Community/Behavioral Health Agency
  • Omaha, NE
  • NPI 1619016896
  NPD tax ID

Locations

Practitioners 1

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

• Krysten Hoy

  • Recreation Therapist
  • Green Bay, WI
  • NPI 1952968000
  NPD (past)

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1821659624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11315 W WATERTOWN PLANK RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263412",
            "telephone_number": "414-302-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE SALVATION ARMY RAY & JOAN KROC CENTER",
            "address_2": "1315 LIME KILN ROAD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54311",
            "telephone_number": "920-544-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SALVATION ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM ACCOUNTABILITY DIRECTOR",
        "authorized_official_telephone_number": "414-302-4300",
        "authorized_official_credential": "MSW, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madysen J Thayse, MSW, APSW
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• Janet M Thibert, AU.D.
• Jason Thibert, CRNA APNP
• Casey Ann Thibodeau, PHARMD

• Case Manager/Care Coordinator in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.