Active NPI
Amber Leigh Greuel, LPC
- Professional Counselor
- Menasha, WI
National Provider Identifier
1043949761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8618
- Practice address
- 1095 Midway Rd
Menasha, WI 54952-1115 - Phone
- (920) 720-2300
- NPI assigned
- Jun 8, 2022
- Last updated
- Oct 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19394 | WI | |
| Mental Health Counselor | 101YM0800X | 4718 | WI | |
| Professional Counselor | 101YP2500X | 8618 | WI | Primary |
Addresses
Primary practice location
1095 Midway Rd
Menasha, WI 54952-1115
Mailing address
1835 E Edgewood Dr Ste 105107
Appleton, WI 54913-9407
Phone (920) 234-6842
Other practice location 1
1835 E Edgewood Dr Ste 105107
Appleton, WI 54913-9407
Phone (920) 234-6842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 236 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19394 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 4718 | WI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mend Counseling LLC | Professional | Current | Accepting new patients |
Locations
1835 E Edgewood Dr
Ste 105107
Appleton, WI 54913
Phone (920) 234-6842
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Appleton, WI
- NPI 1457087850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1043949761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 E EDGEWOOD DR STE 105107",
"city": "APPLETON",
"state": "WI",
"postal_code": "549139407",
"telephone_number": "920-234-6842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 MIDWAY RD",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521115",
"telephone_number": "920-720-2300"
}
],
"practiceLocations": [
{
"address_1": "1835 E Edgewood Dr Ste 105107",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549139407",
"country_code": "US",
"telephone_number": "920-234-6842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREUEL",
"first_name": "AMBER",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19394",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "4718",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"endpointDescription": "record",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1095 Midway Rd",
"city": "Menasha",
"state": "WI",
"country_code": "US",
"postal_code": "549521115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.