Amy Taake, LPC, SAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3679-226 Issued in WI

Practice address

1476 Kenwood Dr Ste 102
Menasha, WI 54952-1134

Phone

(920) 939-8868

NPI assigned

Sep 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LK Anderson Consulting LLC

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468
  Medicare reassignment NPD
• Integrity Counseling, LLC

  • Community/Behavioral Health Agency
  • Appleton, WI
  • NPI 1851797005
  NPD
• Psychological Addiction Services LLC

  • Methadone Clinic
  • Madison, WI
  • NPI 1881131761
  NPD (past)
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1194234922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 KENWOOD DR STE 102",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521134",
            "telephone_number": "920-939-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 KENWOOD DR STE 102",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521134",
            "telephone_number": "920-939-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAAKE",
        "first_name": "AMY",
        "credential": "LPC, SAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16225-131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3679-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813042847",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Stellmacher, LPC-IT
• Debra Sternhagen
• Kimberly Ann Stevens, APNP
• Rebecca Stevens, MA, LPC
• Shannon Marie Sullivan, M.D.
• Crystal Marie Tadych, COTA
• Nicholas Talarczyk, PT
• Karen Teunas, RPH
• Paphuala Thao, LPC-IT
• The Grateful Therapist, LLC

• Mental Health Counselor in Menasha, WI
• Providers in Menasha, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.

Verify at the official NPI Registry.