Michener Child and Adolescent Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MICHENER CHILD AND ADOLESCENT COUNSELING, LLC

Practice address

1370 S Commercial St
Neenah, WI 54956-4636

Phone

(920) 268-6940

NPI assigned

Jun 28, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Michener, LPCNPI 1336210764

Title

Owner/Provider

Phone

(920) 268-6940

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L Michener, LPC

  • Counselor
  • Neenah, WI
  • NPI 1336210764
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1003486523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N433 MAPLERIDGE DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549158754",
            "telephone_number": "920-268-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COMMERCIAL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564636",
            "telephone_number": "920-268-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHENER CHILD AND ADOLESCENT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MICHENER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "920-268-6940",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245830926",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336210764",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780225292",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1370 S Commercial St",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549564636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aimee Meyer
• Kari Ellen Meyer, LPC, SAC
• Kelly M Meyer, DO
• MH Health Care Services, PC
• Tomasz K Miaskowski, MD
• Matthew James Michener, CRNA, DNP
• Michelle L Michener, LPC
• Midwest Oral Health, LLC
• John Mihailidis, M.D.
• Douglas Michael Miller, D.O.

• Counselor in Neenah, WI
• Providers in Neenah, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.