NPIMap

Organization Active NPI

Wing of Eagles Corp

Doing business as Wings Of Eagles Counseling Clinic

  • Case Management Agency
  • Green Bay, WI
National Provider Identifier
1982000154
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WING OF EAGLES CORP
Doing business as
Wings Of Eagles Counseling Clinic
Practice address
217 N Madison St
Suite 4
Green Bay, WI 54301-5103
Phone
(920) 227-7078
Fax
(920) 273-8847
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Leslie C Ousley, MA LPCNPI 1609215821
Title
Counselor
Phone
(920) 228-3199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

217 N Madison St
Suite 4
Green Bay, WI 54301-5103

Mailing address

217 N Madison St
Suite 4
Green Bay, WI 54301-5103
Phone (920) 227-7078

Other names 1

  • Wings Of Eagles Counseling Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1982000154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MADISON ST",
            "address_2": "SUITE 4",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015103",
            "telephone_number": "920-227-7078",
            "fax_number": "920-273-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MADISON ST",
            "address_2": "SUITE 4",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543015103",
            "telephone_number": "920-227-7078",
            "fax_number": "920-273-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WING OF EAGLES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "OUSLEY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "920-228-3199",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings Of Eagles Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.