FAMILY SERVICES OF NORTHEAST WI, INC
NPI 1679769343
Counselor in Green Bay, WI

Active since September 17, 2007
3430 SPIRIT WAY, GREEN BAY, WI 54304(920) 330-0339 Get Directions Write a Review

NPPES record last updated: September 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Services Of Northeast Wi, Inc NPPES

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

FAMILY SERVICES OF NORTHEAST WI, INC (NPI 1679769343) is a healthcare organization registered as a counselor in Green Bay, Wisconsin and active in the NPI registry since September 2007. The organization lists Katherine K Jensen, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1679769343
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameFAMILY SERVICES OF NORTHEAST WI, INC
Location Address3430 SPIRIT WAYGreen Bay, WI 54304-5687
Mailing Address3430 Spirit WayGreen Bay, WI 54304-5687 · (920) 330-0339
Organization SubpartNo
Authorized OfficialKatherine K JensenLicensed Professional Counselor · (920) 330-0339
Enumeration DateSeptember 17, 2007
NPI 1679769343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WI · 3851-125
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.
3430 SPIRIT WAY, Green Bay, WI 54304

Other Identifiers 1

Medicaid43713200WI

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

Other Providers at the Same Location NPPES 2

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

Psychiatric Residential Treatment Facility
3430 SPIRIT WAY
GREEN BAY, WI 54304
Counselor (Mental Health)
3430 SPIRIT WAY
GREEN BAY, WI 54304

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 Family Services Of Northeast Wi, Inc's NPI number?

The NPI number for Family Services Of Northeast Wi, Inc is 1679769343. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is Family Services Of Northeast Wi, Inc located?

Family Services Of Northeast Wi, Inc is located at 3430 Spirit Way, Green Bay, WI 54304. The listed phone number is (920) 330-0339.

What is Family Services Of Northeast Wi, Inc'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 Family Services Of Northeast Wi, Inc was last updated on September 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.