Active NPI
Melissa Lynette Wheeler, SAC-IT
- Counselor
- Appleton, WI
National Provider Identifier
1790337178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 18650-130
- Practice address
- 3301 N Ballard Rd
Appleton, WI 54911-8928 - Phone
- (920) 733-4443
- NPI assigned
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 18650-130 | WI | Primary |
Addresses
Primary practice location
3301 N Ballard Rd
Appleton, WI 54911-8928
Mailing address
N4650 Laird Rd
Shiocton, WI 54170-8939
Phone (920) 707-0304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18650-130 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milwaukee Health Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Appleton, WI
- NPI 1578883567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1790337178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4650 LAIRD RD",
"city": "SHIOCTON",
"state": "WI",
"postal_code": "541708939",
"telephone_number": "920-707-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N BALLARD RD",
"city": "APPLETON",
"state": "WI",
"postal_code": "549118928",
"telephone_number": "920-733-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MELISSA",
"middle_name": "LYNETTE",
"credential": "SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "18650-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.