Christine Marie Nicklaus

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6937125 Issued in WI

Practice address

1557 Cleveland Ave
Marinette, WI 54143-3920

Phone

(715) 732-6868

Fax

(715) 732-6867

NPI assigned

Dec 3, 2016

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 2

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Nicklaus Counseling Center SC

  • Professional Counselor
  • Marinette, WI
  • NPI 1033659271
  NPD Authorized official
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700

  WI

  Medicare reassignment
• Peace Counseling & Support Services LLC

  • Mental Health Counselor
  • Marinette, WI
  • NPI 1992633309

  Professional

  NPD

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1386188712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433920",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 CLEVELAND AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433920",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2450 Hwy 577",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498589770",
            "country_code": "US",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1557 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541433920",
            "country_code": "US",
            "telephone_number": "715-732-6868",
            "fax_number": "715-732-6866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKLAUS",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2992226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6937125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992633309",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION NPI",
            "identifier": "1033659271",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese P Neri, CCC SLP
• Newcap, Inc.
• Qefli Neziri, MD
• Jennifer Nicastro, RN, SNM
• Nicklaus Counseling Center SC
• Sarah Nicklaus, PHARM D, RPH
• John F Nielsen, M.D.
• Maryellen M Nieves, APNP
• North Reach Healthcare LLC
• Northern Lights Clinic SC

• Professional Counselor in Marinette, WI
• Providers in Marinette, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.