| Wisconsin Wellness | |
|
5643 W Waterford Ln Appleton WI 54913-8438 | |
| (920) 404-2100 | |
| Not Available |
| Full Name | Wisconsin Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 5643 W Waterford Ln, Appleton, Wisconsin |
| Authorized Official Name and Position | Ryan Joseph Rohde (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7152810612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisconsin Wellness 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 | Wisconsin Wellness 5643 W Waterford Ln Appleton WI 54913-8438 Ph: (920) 404-2100 |
| NPI Number | 1548041924 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/26/2024 |
| Medicare PECOS PAC ID | 7719487420 |
|---|---|
| Medicare Enrollment ID | O20250826001667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548041924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Daniel C Condit |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497992705 PECOS PAC ID: 8628133089 Enrollment ID: I20090218000403 |
| Provider Name | Brynn a Sytsma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619594355 PECOS PAC ID: 8921484304 Enrollment ID: I20221009000055 |
| Provider Name | Brenda Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386658979 PECOS PAC ID: 2668473448 Enrollment ID: I20230724002454 |
| Provider Name | Amy Lynn Henning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336224922 PECOS PAC ID: 3779084207 Enrollment ID: I20250827003767 |
| Provider Name | Matthew Fischer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306395504 PECOS PAC ID: 0749781110 Enrollment ID: I20250828000065 |
| Provider Name | Michele M Paoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578894382 PECOS PAC ID: 3274035977 Enrollment ID: I20250903002168 |
| Provider Name | Michael Ronald Wendt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144686973 PECOS PAC ID: 6608370572 Enrollment ID: I20250916000880 |
| Provider Name | Carin L Orourke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710534748 PECOS PAC ID: 8729563457 Enrollment ID: I20260331003437 |
Walk by Faith Counseling, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 E Longview Dr Ste C, Appleton, WI 54911 Phone: 920-238-3340 Fax: 920-325-0198 |
Be Child and Adolescent Mental Health LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1309 S Oneida St, Appleton, WI 54915 Phone: 920-903-8841 |
Acs Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 W Washington St, Appleton, WI 54914 Phone: 920-830-1750 Fax: 920-830-1770 |
Livelihood Counseling, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1835 E Edgewood Dr Ste 105-470, Appleton, WI 54913 Phone: 920-944-9700 Fax: 920-570-6990 |
Refuge Counseling Center LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1033 W College Ave, Appleton, WI 54914 Phone: 920-239-4400 Fax: 920-532-1052 |
Christian Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 N Meade St, Appleton, WI 54913 Phone: 800-438-1772 Fax: 262-293-9737 |