Respect Counseling Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

803-124 Issued in WI

Legal business name

RESPECT COUNSELING CENTER LLC

Practice address

302 State St
Suite B
Oshkosh, WI 54901-4847

Phone

(920) 230-2207

Fax

(920) 230-2208

NPI assigned

Jul 3, 2012

Organization subpart

No

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

Authorized official

Name

Blu A Kallies, M.A, M.F.T.

Title

Marriage and Family Therapist

Phone

(920) 230-2207

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Blu Augusta Wilkins, LMFT

  • Marriage & Family Therapist
  • Oshkosh, WI
  • NPI 1710031687
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1952665044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 STATE ST",
            "address_2": "SUITE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014847",
            "telephone_number": "920-230-2207",
            "fax_number": "920-230-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 STATE ST",
            "address_2": "SUITE B",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014847",
            "telephone_number": "920-230-2207",
            "fax_number": "920-230-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPECT COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "KALLIES",
        "authorized_official_first_name": "BLU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "920-230-2207",
        "authorized_official_credential": "M.A, M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "803-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.