Raeann Wichlacz, CADC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11042 Issued in WI

Practice address

106 Galvin Road
Abbotsford, WI 54405

Phone

(175) 223-0480

Fax

(715) 223-1611

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Raeann Wichlacz

  • Addiction (Substance Use Disorder) Counselor
  • Abbotsford, WI
  • NPI 1508840992
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942253315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GALVIN ROAD",
            "address_2": "P.O. BOX 447",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "54405",
            "telephone_number": "175-223-0480",
            "fax_number": "715-223-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GALVIN ROAD",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "54405",
            "telephone_number": "175-223-0480",
            "fax_number": "715-223-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHLACZ",
        "first_name": "RAEANN",
        "name_prefix": "Mrs.",
        "credential": "CADC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39380400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zena C Urbina, LPN
• Morgan Vander Linden, PTA
• Ashley Venzke, PTA
• Jessica Sue Vidal, FNP
• Jacob Robert Werner, D.C.
• David Joseph Wunrow, RPH
• Hannah Zierer

• Addiction (Substance Use Disorder) Counselor in Abbotsford, WI
• Providers in Abbotsford, 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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.