BLUE WATERS FAMILY COUNSELING, S.C.
NPI 1366556359
Counselor in Manitowoc, WI

Active since August 18, 2006
2215 WASHINGTON ST, MANITOWOC, WI 54220(920) 683-3911(920) 683-3411 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Waters Family Counseling, S.c. NPPES

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

BLUE WATERS FAMILY COUNSELING, S.C. (NPI 1366556359) is a healthcare organization registered as a counselor in Manitowoc, Wisconsin and active in the NPI registry since August 2006. The organization lists Diane M Berry, Director, as its authorized official.

NPPES Registry Identity

NPI1366556359
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameBLUE WATERS FAMILY COUNSELING, S.C.
Location Address2215 WASHINGTON STManitowoc, WI 54220-4847
Mailing Address2215 Washington StManitowoc, WI 54220-4847 · (920) 683-3911 · Fax (920) 683-3411
Fax(920) 683-3411
Organization SubpartNo
Authorized OfficialDiane M BerryDirector · (920) 683-3911
Enumeration DateAugust 18, 2006
Last NPPES UpdateFebruary 8, 2012
NPI 1366556359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2215 WASHINGTON ST, Manitowoc, WI 54220

Other Identifiers 2

Medicaid42217300WI
Medicare PIN000044375WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2215 WASHINGTON ST
MANITOWOC, WI 54220

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 Blue Waters Family Counseling, S.C.'s NPI number?

The NPI number for Blue Waters Family Counseling, S.C. is 1366556359. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Blue Waters Family Counseling, S.C. located?

Blue Waters Family Counseling, S.C. is located at 2215 Washington St, Manitowoc, WI 54220. The listed phone number is (920) 683-3911.

What is Blue Waters Family Counseling, S.C.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Blue Waters Family Counseling, S.C. was last updated on February 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.