Jeffrey Czebotar, LPC, SAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3682-125 Issued in WI

Practice address

1102 S Park St
Madison, WI 53715-1708

Phone

(608) 282-8270

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1952506644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 WILLIAMSBURG WAY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537191519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151708",
            "telephone_number": "608-282-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZEBOTAR",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LPC, SAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15154-131",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3682-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Kristine Cutsforth
• Rosmery Cuya, PHARM D
• Paula R Cynkar, PAC
• Cynthia la Morgese MD Healing LLC
• Roseanna P Cyr, MA, MT-BC, LMHC, LPC
• Molly E Czech, MSW
• Maciej M Czechowski, MD
• Angela Czegledi, BS
• Cheryl M Czerlanis, MD
• Laura C. Czernik, M.A., CCC-SLP

• Professional Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.