Michele E Schenk, MA, CP, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

16070-132 Issued in WI

Practice address

533 Peace Pipe Rd
Lac Du Flambeau, WI 54538-0189

Phone

(715) 588-1511

Fax

(715) 588-3903

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Lac Du Flambeau Band of Lake Superior Chippewa Indians

  dba Family Resource Center

  • Federally Qualified Health Center (FQHC)
  • Lac Du Flambeau, WI
  • NPI 1306016563
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1760520050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "address_2": "PO BOX189",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380189",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PEACE PIPE RD",
            "city": "LAC DU FLAMBEAU",
            "state": "WI",
            "postal_code": "545380189",
            "telephone_number": "715-588-1511",
            "fax_number": "715-588-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "MICHELE",
        "middle_name": "E",
        "credential": "MA, CP, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17230-130",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "31078",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16070-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43700100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert R Polfus, MA
• Sara L Rausch, MS, CCC-SLP
• Michelle Rollman
• Carmen E Salinas, RDH
• Brian D Schafer, R.PH.
• Ann M Schmitz, RDH
• John Sargent Sholl, MD
• Nicole Marie Siddell-Duran, R.D.H
• Linda Smith, RDH
• Deborah Gail Swiader, SAC-IT

• Addiction (Substance Use Disorder) Counselor in Lac Du Flambeau, WI
• Providers in Lac Du Flambeau, 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 May 16, 2023; 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.