Organization Active NPI

Johnson Creek Counseling & Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Johnson Creek, WI
National Provider Identifier
1932608643
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7792-123 Issued in WI
Legal business name
JOHNSON CREEK COUNSELING & WELLNESS CENTER LLC
Practice address
520 Hartwig Blvd
Johnson Creek, WI 53038-9314
Phone
(920) 285-2487
Fax
(920) 699-2788
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Stephanie Scheiber, LCSW
Title
Owner/Psychotherapist
Phone
(920) 285-2487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7792-123 WI Primary

Addresses

Primary practice location

520 Hartwig Blvd
Johnson Creek, WI 53038-9314

Mailing address

209 Parkview Dr
Johnson Creek, WI 53038-9422
Phone (920) 285-2487

National Provider Directory

National Provider Directory

Locations

520 Hartwig Blvd
Johnson Creek, WI 53038
Phone (920) 285-2487

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1932608643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARKVIEW DR",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389422",
            "telephone_number": "920-285-2487",
            "fax_number": "920-699-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HARTWIG BLVD",
            "city": "JOHNSON CREEK",
            "state": "WI",
            "postal_code": "530389314",
            "telephone_number": "920-285-2487",
            "fax_number": "920-699-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CREEK COUNSELING & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "SCHEIBER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "920-285-2487",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "7792-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.