Organization Active NPI

Slainte Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
National Provider Identifier
1750151395
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SLAINTE CLINIC
Practice address
140 North Ave
Hartland, WI 53029-1716
Phone
(920) 944-8474
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Dr. Colleen Worth, DNP, APNP, PMHNP-BCNPI 1417247040
Title
Nurse Practitioner/Owner
Phone
(920) 944-8474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

140 North Ave
Hartland, WI 53029-1716

Mailing address

140 North Ave
Hartland, WI 53029-1716
Phone (920) 944-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318002699 WI Part B Supplier - Clinic/Group Practice 6507203296 Receives reassigned benefits from 2 practitioners
Practice locations: Hartland, WI

National Provider Directory

National Provider Directory

Locations

555 S Industrial Dr
Ste 1
Hartland, WI 53029
Phone (262) 367-7010

140 North Ave
Hartland, WI 53029
Phone (920) 944-8474

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1750151395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NORTH AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291716",
            "telephone_number": "920-944-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NORTH AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291716",
            "telephone_number": "920-944-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAINTE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "920-944-8474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.