Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northeast Wisconsin Behavioral Health SC

Organization Mental Health Counselor · NPI 1275733602

Northeast Wisconsin Behavioral Health SC provides Mental Health Counselor services in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
5
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Practice location Address checks out

529 S Jefferson St Ste 202
Green Bay, WI 54301-4125
Phone: (920) 884-2175
Fax: (920) 884-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence 4044-123 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 2376 125 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4044 123 (WI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 489 124 (WI)

Record details

NPI number1275733602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzette Kosnar-Tittl — Owner, Ceo, Provider · (920) 884-2175
NPI enumeratedJuly 24, 2007
Last updated in NPPESOctober 16, 2023
Mailing address529 South Jefferson Street, Suite 202, Green Bay, WI 54301-4125

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