Jane Zaretzke, CSAC ICS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15467-132 Issued in WI

Practice address

607 W 7TH St
Appleton, WI 54911-5923

Phone

(920) 739-3235

Fax

(920) 731-4756

NPI assigned

Mar 26, 2014

Sex

Female

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

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.

• Mooring Programs, Inc

  • Substance Abuse Rehabilitation Facility
  • Appleton, WI
  • NPI 1760709299
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1689091845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 WORTH AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565040",
            "telephone_number": "920-739-3235",
            "fax_number": "920-731-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W 7TH ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115923",
            "telephone_number": "920-739-3235",
            "fax_number": "920-731-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARETZKE",
        "first_name": "JANE",
        "credential": "CSAC ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15467-132",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15409-134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Zajkowski
• Shannon Zajkowski
• Mohamed Ragab Zakarya, M.D.
• Heather Anne Zalapa, HIS
• Christine M Zanotelli
• Vincent Francis Zawlocki, LPN
• Leah R Zeamer, MSW LCSW
• Afshin Fawad Zeb, MD
• Anthony Paul Zeimet, D.O.
• Brooke E Zelhofer, NP

• Addiction (Substance Use Disorder) Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.