Cathleen Starck Wille

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1490-125 Issued in WI

Practice address

1478 Kenwood Ctr
Suite #1
Menasha, WI 54952-1161

Phone

(920) 886-9319

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Samaritan Counseling Center of the Fox Valley, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Menasha, WI
  • NPI 1538175195
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225053663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 LOWELL PL",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564625",
            "telephone_number": "920-727-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 KENWOOD CTR",
            "address_2": "SUITE #1",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521161",
            "telephone_number": "920-886-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLE",
        "first_name": "CATHLEEN",
        "middle_name": "STARCK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1490-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39684100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy Lyn Wichman
• Jenny Marie Wiedmeyer, COTA
• Annette J Wilde, OD
• Patrick Wiley
• Lindley Anne Wilkerson, MA, LPC
• Davian Willems
• Brianne M Williams, PT, DPT
• Holly D Wilson, APSW
• Wisco Dental, S.C.
• Wisconsin Eye Consultants S. C.

• 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 Jul 8, 2007; 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.