Christopher Secor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8331-226 Issued in WI

Practice address

420 E Green Bay St Ste 101
Shawano, WI 54166-2500

Phone

(715) 201-0361

NPI assigned

Apr 11, 2024

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1275386906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E GREEN BAY ST STE 101",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E GREEN BAY ST STE 101",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662500",
            "telephone_number": "715-201-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECOR",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20542-130",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8331-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Schreiner, CRNA
• Jennifer Anne Schroeder, P.T.
• Julie T Schroeder, B.S.
• Cora Schultz
• Hillary Schultz, DNP, APNP, FNP-BC
• Kristina L Seglah, CADC-II, CSAC, CSI-T
• Allison Marie Senzig, DNP, APNP, FNP-BC
• Rebecca Setterman, LCSW
• Shawano Ambulance Service, Inc.
• Shawano Clinic, Inc (ThedaCare Physicians Shawano)

• Mental Health Counselor in Shawano, WI
• Providers in Shawano, 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 Feb 18, 2025; 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.