| Nicole A Lemerond, LPC-IT | |
|
3301b Packerland Dr., De Pere, WI 54115 | |
| (920) 364-6089 | |
| (920) 364-6096 |
| Full Name | Nicole A Lemerond |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3301b Packerland Dr., De Pere, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114447414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3562-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 7357-125 (Wisconsin) | Primary |
| Entity Name | Ccp Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396431714 PECOS PAC ID: 7214394022 Enrollment ID: O20230609002780 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A Lemerond, LPC-IT 424 E Longview Dr., Appleton, WI 54911 Ph: (920) 234-9240 | Nicole A Lemerond, LPC-IT 3301b Packerland Dr., De Pere, WI 54115 Ph: (920) 364-6089 |
Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360 |
Cassandra Vanstraten, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 |
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939 |
Danielle Casper, LMFT, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Marie D. Ibarra Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 |