Carrie Nitz, SAC-IT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Green Lake, WI
NPI 1992298863 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1992298863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 18377-130
- Practice address
- 571 County Road a
Green Lake, WI 54941-8630 - Phone
- (920) 229-3338
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Green Lake | Past |
Accepting new patients | |
| County of Green Lake | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 18377-130 | Yes |
Addresses
Primary practice location
571 County Road a
Green Lake, WI 54941-8630
Mailing address
N8794 Townline Rd
Van Dyne, WI 54979-9736
Phone (920) 979-8104
Other providers in Green Lake, WI
- Andrea M King
- Jared M. Kohlenberg
- Gretchen M Malkowsky
- Courtney McClintic
- Trixie Murphy
- Lauren Renee Olson
- Colleen Pomplun
- Eric G Ratering
- Danielle Marie Reysen
- Sara Rose Rhode
All providers in Green Lake, 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 Jun 14, 2018. 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.