NORTHEAST WISCONSIN BEHAVIORAL HEALTH SC
NPI 1275733602
Counselor - Mental Health in Green Bay, WI

Q: What is Northeast Wisconsin Behavioral Health Sc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since July 24, 2007

529 SOUTH JEFFERSON STREET, SUITE 202, GREEN BAY, WI 54301(920) 884-2175(920) 884-6735 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2023, Aug 21, 2017, Feb 9, 2017 (3 updates tracked since 2017).

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About Northeast Wisconsin Behavioral Health Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST WISCONSIN BEHAVIORAL HEALTH SC (NPI 1275733602) is a healthcare organization registered as a mental health in Green Bay, Wisconsin and active in the NPI registry since July 2007. The organization lists Suzette Marie Kosnar-tittl, Owner, Ceo, Provider, as its authorized official.

NPPES Registry Identity

NPI1275733602

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameNORTHEAST WISCONSIN BEHAVIORAL HEALTH SC

Location Address529 SOUTH JEFFERSON STREET, SUITE 202Green Bay, WI 54301-4125

Mailing Address529 South Jefferson Street, Suite 202Green Bay, WI 54301-4125 · (920) 884-2175 · Fax (920) 884-6735

Phone(920) 884-2175

Fax(920) 884-6735

Organization SubpartNo

Authorized OfficialSuzette Marie Kosnar-tittlOwner, Ceo, Provider · (920) 884-2175

Enumeration DateJuly 24, 2007

Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration

✔ NPI 1275733602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 4044-123

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2376 125 (WI)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4044 123 (WI)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 489 124 (WI)

529 SOUTH JEFFERSON STREET, Green Bay, WI 54301

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Other Identifiers 8

Other39722900WI · Provider Medicaid #

Other000044900WI · Clinicmedicare# Greenbay

Other1275733602WI · Clinic Npi#

Other000044905WI · Clinicmedicare#oshkosh

Other1285736249Provider Npi

Other000144900WI · Providermedicare#greenbay

Other000144905WI · Providermedicare#oshkosh

Other4225100WI · Clinic Medicaid #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Wisconsin Behavioral Health Sc's NPI number?

The NPI number for Northeast Wisconsin Behavioral Health Sc is 1275733602. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Northeast Wisconsin Behavioral Health Sc located?

Northeast Wisconsin Behavioral Health Sc is located at 529 South Jefferson Street Suite 202, Green Bay, WI 54301. The listed phone number is (920) 884-2175.

What is Northeast Wisconsin Behavioral Health Sc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Northeast Wisconsin Behavioral Health Sc was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.