Joelle M Hesse, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17029-130 Issued in WI

Practice address

630 Cherry St.
Green Bay, WI 54301

Phone

(920) 435-2093

Fax

(920) 435-2580

NPI assigned

Jun 13, 2014

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 names 1

• Ms. Joelle M Domingos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jackie Nitschke Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Green Bay, WI
  • NPI 1265642318
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1962816371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 CHERRY STREET",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-435-2093",
            "fax_number": "920-435-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 CHERRY ST.",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54301",
            "telephone_number": "920-435-2093",
            "fax_number": "920-435-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSE",
        "first_name": "JOELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17029-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "DOMINGOS",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "SACT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy L Hess, NURSE PRACTITIONER
• Collin A Hess, MD
• Denise M Hess, RN
• Kimberly Hess
• Terry Joseph Hess II, LAT, CSCS
• Caitlin Hester, CRNA
• Sarah B. Heuer, D.D.S.
• David N Heverly, MD
• HHA of Wisconsin, LLC
• Elizabeth Hickey, MA CCC-SLP

• 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 Jan 11, 2017; 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.