| Kaylee T Ninnemann, LPC | |
|
140 School Creek Trl, Luxemburg, WI 54217-1095 | |
| (920) 845-1370 | |
| (920) 845-1379 |
| Full Name | Kaylee T Ninnemann |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 140 School Creek Trl, Luxemburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184075434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6777-125 (Wisconsin) | Primary |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952554800 PECOS PAC ID: 4486551058 Enrollment ID: O20031212000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylee T Ninnemann, LPC Po Box 22040, Green Bay, WI 54305-2040 Ph: (920) 445-7222 | Kaylee T Ninnemann, LPC 140 School Creek Trl, Luxemburg, WI 54217-1095 Ph: (920) 845-1370 |
Nicholas C Rogge, LPC Counselor Medicare: Medicare Enrolled Practice Location: 140b School Creek Trl, Luxemburg, WI 54217 Phone: 920-845-1370 Fax: 920-845-1379 | |
Jennifer Vanden Avond, MAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 854 Ralph St, Luxemburg, WI 54217 Phone: 920-255-5711 |