| Mend Counseling LLC | |
|
1712 N Drew St Appleton WI 54911-2927 | |
| (920) 234-6842 | |
| Not Available |
| Full Name | Mend Counseling LLC |
|---|---|
| Speciality | Counselor |
| Location | 1712 N Drew St, Appleton, Wisconsin |
| Authorized Official Name and Position | Jonathon Donald Jacobs (LEAD CLINICIAN/OWNER) |
| Authorized Official Contact | 9202346842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mend Counseling LLC 1712 N Drew St Appleton WI 54911-2927 Ph: (920) 234-6842 | Mend Counseling LLC 1712 N Drew St Appleton WI 54911-2927 Ph: (920) 234-6842 |
| NPI Number | 1457087850 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 0840724522 |
|---|---|
| Medicare Enrollment ID | O20241118002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457087850 | NPI | - | NPPES |
| 100058290 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Brenda Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386658979 PECOS PAC ID: 2668473448 Enrollment ID: I20230724002454 |
| Provider Name | Lauren E Bartelt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902282643 PECOS PAC ID: 4284085580 Enrollment ID: I20240111001593 |
| Provider Name | Stephanie T Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811262249 PECOS PAC ID: 5991148538 Enrollment ID: I20240209003349 |
| Provider Name | Carolyn B. Beyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619078193 PECOS PAC ID: 1759729056 Enrollment ID: I20240405000891 |
| Provider Name | Jonathon Jacobs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659750594 PECOS PAC ID: 2668906348 Enrollment ID: I20241118002265 |
| Provider Name | Natalie Wachowiak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225899222 PECOS PAC ID: 4082141890 Enrollment ID: I20241218000628 |
| Provider Name | Emily Morgan Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710742077 PECOS PAC ID: 9436686953 Enrollment ID: I20241223002075 |
| Provider Name | Gail Goodacre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720785413 PECOS PAC ID: 9537697990 Enrollment ID: I20250113002170 |
| Provider Name | Amber Leigh Greuel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043949761 PECOS PAC ID: 7618491804 Enrollment ID: I20250409001878 |
| Provider Name | Lori Denn Marhefke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770265621 PECOS PAC ID: 2769909589 Enrollment ID: I20250506000907 |
| Provider Name | Brian Heenan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669062576 PECOS PAC ID: 8628576865 Enrollment ID: I20250807003341 |
| Provider Name | Alexis Van Eperen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104378470 PECOS PAC ID: 9931601093 Enrollment ID: I20250908001169 |
| Provider Name | Julia T. Witt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912087784 PECOS PAC ID: 5092860684 Enrollment ID: I20251010002869 |
| Provider Name | Colleen Prendergast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205081940 PECOS PAC ID: 1658867809 Enrollment ID: I20251226001401 |
| Provider Name | Mackenzie Kropidlowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932979234 PECOS PAC ID: 9436645603 Enrollment ID: I20260116001413 |
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