NPIMap

Danielle Carol Bauer, LPC

Individual provider Active NPI Professional Counselor · Appleton, WI

NPI 1194249599 · NPPES record last updated Mar 5, 2025

Key facts

NPI
1194249599
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
7319-125 (WI)
Practice address
424 E Longview Dr.
Appleton, WI 54911-2167
Phone
(920) 234-9240
Fax
(920) 364-6096
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3601226WIMDMental Health Counselor
7319-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CCP Clinic, LLC Professional Current
since Mar 11, 2025		 Accepting new patients

Locations

424 E Longview Dr
Appleton, WI 54911
Phone (920) 234-9240

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3601226 WI
Professional Counselor 101YP2500X 7319-125 WI Yes

Addresses

Primary practice location

424 E Longview Dr.
Appleton, WI 54911-2167

Mailing address

424 E Longview Dr.
Appleton, WI 54911-2167
Phone (920) 234-9240

Other names

  • Danielle Carol McCole Former name

Other providers in Appleton, WI

All providers in Appleton, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.