Delforge Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3124-123 Issued in WI

Legal business name

DELFORGE COUNSELING LLC

Practice address

529 S Jefferson St
Suite 105
Green Bay, WI 54301-4125

Phone

(920) 884-6700

Fax

(920) 884-6700

NPI assigned

Feb 14, 2008

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara K. Delforge, MSW, LCSW

Title

Psychotherapist/Sole Member

Phone

(920) 884-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1942478649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014125",
            "telephone_number": "920-884-6700",
            "fax_number": "920-884-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S JEFFERSON ST",
            "address_2": "SUITE 105",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014125",
            "telephone_number": "920-884-6700",
            "fax_number": "920-884-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELFORGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "DELFORGE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/SOLE MEMBER",
        "authorized_official_telephone_number": "920-884-6700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3124-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39607100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Degroot, LPC
• Desiree Dawn Dehart, APSW
• Bonnie L Dejardin, AGNP-BC
• Rebecca Delain, RN, BSN,CDE
• Kelly Delaney, RN
• Kristin Marie Delforge
• Jacquelyn Marie Delfosse McDonald, DPT
• Tsyoshaaht Caterina Delgado, CADC III
• Delo Sport and Stem SC
• Marjorie J Delo, MD

• Community/Behavioral Health Agency in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.