Individual provider Active NPI

Richard Norenberg

  • Counselor
  • Oshkosh, WI
National Provider Identifier
1912382102
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3893 Issued in WI
Practice address
524 Oak St
Oshkosh, WI 54901-4621
Phone
(920) 573-9208
NPI assigned
Jul 29, 2015
Last updated
Jul 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3893 WI Primary

Addresses

Primary practice location

524 Oak St
Oshkosh, WI 54901-4621

Mailing address

375 F Executive Suites
City Center
Oshkosh, WI 54901

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

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1912382102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 F EXECUTIVE SUITES",
            "address_2": "CITY CENTER",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 OAK ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014621",
            "telephone_number": "920-573-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORENBERG",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.