Family Services of Northeast Wisconsin Inc
A Medicare group practice based in Green Bay, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7214832229), with 16 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7214832229
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- WI
- Enrollments
- 1
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031203000498 | WI | Part B Supplier - Clinic/Group Practice | 1275525925 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Family Services of Northeast Wisconsin Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Menasha, WI
- NPI 1275525925
-
Family Services of Northeast Wisconsin Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Green Bay, WI
- NPI 1467453167
Practice locations
- Menasha, WI1
- Green Bay, WI1
Clinicians 16
Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (10).
-
Libbi H Burke, MSE
- Addiction (Substance Use Disorder) Counselor
- Green Bay, WI
- NPI 1861011363
-
Vicky Coppens, CAPSW
- Clinical Social Worker
- Green Bay, WI
- NPI 1437244662
-
James K Dercks, LPC
- Professional Counselor
- Menasha, WI
- NPI 1134586779
-
Clarissa Detrie, MSW
- Mental Health Counselor
- Green Bay, WI
- NPI 1073759577
-
James V Drake, LCSW
- Clinical Social Worker
- Green Bay, WI
- NPI 1245326172
-
Brandon Lee Franzke, MS, LPC
- Professional Counselor
- Menasha, WI
- NPI 1588141360
-
Sophia Marie Hueter, MS, LPC, SAC
- Addiction (Substance Use Disorder) Counselor
- Green Bay, WI
- NPI 1316594021
-
Joseph Thomas Hurlburt, MS, LPC-IT
- Professional Counselor
- Menasha, WI
- NPI 1275220196
-
Heather Mattson, MSW, LCSW
- Clinical Social Worker
- Menasha, WI
- NPI 1114790086
-
Chelsea S McGuire, LPC
- Professional Counselor
- Green Bay, WI
- NPI 1518346931
-
Katherine A Rappel, SAC, LPC-IT
- Addiction (Substance Use Disorder) Counselor
- Green Bay, WI
- NPI 1972854974
-
Daniela Santiago Escamilla, MA, LPC-IT
- Mental Health Counselor
- Green Bay, WI
- NPI 1730964230
-
Tracy L Schiesser, MAC, LPC, SAC-IT
- Professional Counselor
- Green Bay, WI
- NPI 1467232595
-
Sarah C Thiesfeldt, MSW, LCSW
- Clinical Social Worker
- Green Bay, WI
- NPI 1811346745
-
Phoenix Van Laanen, LCSW
- Clinical Social Worker
- Green Bay, WI
- NPI 1609354166
-
Jalyssa Vanboxel, MSW, LCSW
- Clinical Social Worker
- Green Bay, WI
- NPI 1598481392
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.