Arianna Kathleen Amend, SAC-IT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Appleton, WI
NPI 1891296174 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1891296174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18725130 (WI)
- Practice address
- 1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057 - Phone
- (920) 735-9010
- Fax
- (920) 735-9050
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18725130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options Treatment Programs, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18725130 | WI | Yes |
Addresses
Primary practice location
1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057
Mailing address
1000 N Lynndale Dr Ste C
Appleton, WI 54914-3057
Phone (920) 735-9010
Other practice location 1
1849 N Doctor M.L.K. Dr
101
Milwaukee, WI 53212
Phone (414) 347-1774
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- America'S Best Contact & Eyeglasses
- American Current Care P.a.
- Alexandria Amerson
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- Claudia V Amezquita-Lee
All providers in Appleton, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.