Ken Sann

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1722-132 Issued in WI

Legal business name

KEN SANN

Doing business as

Independent Assessment & Counseling Services

Practice address

1345 W Mason St
Suite 200
Green Bay, WI 54303-2049

Phone

(920) 438-8141

Fax

(920) 438-7993

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth Roy Sann

Title

Owner

Phone

(920) 438-8141

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Independent Assessment & Counseling Services Doing business as

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1801939467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W MASON ST",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032049",
            "telephone_number": "920-438-8141",
            "fax_number": "920-438-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W MASON ST",
            "address_2": "SUITE 200",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032049",
            "telephone_number": "920-438-8141",
            "fax_number": "920-438-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN SANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SANN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-438-8141"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1722-132",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2313",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "WI",
            "license": "2221-120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42224300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent Assessment & Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon A Kelley, PTA
• Jenny Lynn Kelly, APNP
• Kimi Marie Kelly, OT
• Peggy Sue Kelsall
• Camille Ann Kemper, LCSW
• Kimberly Kendall, PT
• Kayce Kendziorski
• Shannon Lee Wyman Kenevan
• Dana Lynn Kennedy, RD
• Denise A Kennedy, M.D.

• Addiction (Substance Use Disorder) Counselor in Green Bay, WI
• Providers in Green Bay, 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 Jul 3, 2008; 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.