MARY MICELI-WINK


Address: 3150 Gershwin Drive, Green Bay, WI 54311-5859
Phone: 9203916940

MARY MICELI-WINK (NPI# 1205167426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205167426
Entity Type Individual
Full Name MARY MICELI-WINK
Credential CSAC
Practice Address 3150 Gershwin Drive
Green Bay
WI 54311-5859
Practice Telephone 9203916940
Practice Fax Number 9203914870
Mailing Telephone 9203916940
Mailing Fax Number 9203914870
Enumeration Date 2010-01-28
Last Update Date 2010-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1198 WI Behavioral Health & Social Service Providers

Office Location

Street Address 3150 GERSHWIN DRIVE
City GREEN BAY
State WI
Zip Code 54311-5859

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801908975 County of Brown Psychiatric Hospital 3150 Gershwin Drive, Green Bay, WI 54311-5859 2006-08-31
1871901058 Danielle Dufresne Counselor 3150 Gershwin Drive, Green Bay, WI 54311-4328 2014-07-31
1679707384 Bethany A Robinson Counselor 3150 Gershwin Drive, Green Bay, WI 54311-5859 2009-05-08
1679747059 County of Brown Psychiatry & Neurology 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-17
1386818664 County of Brown Community/Behavioral Health 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-17
1467626994 Amy C Ricker Social Worker 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-16
1497929921 Heather A Grasse Social Worker 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-16
1427221381 Randall W Keigley Social Worker 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-10
1790958973 Kevin P Lunog Counselor 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-04-08
1598934440 Michael W Wilbert Counselor 3150 Gershwin Drive, Green Bay, WI 54311-5859 2008-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295333847 Karen Ginnow Pharmacist Walmart #1908, 2292 Main St, Green Bay, WI 54311 2020-10-15
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1821522889 Wayne Borowitz Counselor 621 E Walnut St, Green Bay, WI 54301-4001 2017-04-17
1427421023 Katie Koebernik Counselor 424 S Monroe Ave Ste 201, Green Bay, WI 54301-4054 2015-11-04
1386041598 Andrea Bonnin Counselor 2979 Allied St Ste C, Green Bay, WI 54304-5567 2014-12-03
1649671421 Heather Marie Novak Counselor 2979 Allied St Unit C, Green Bay, WI 54304 2014-09-11
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
1790016467 Deborah J Hauser Counselor 3150 Gershwin, Green Bay, WI 54311-5859 2010-01-20
1336372259 Edwin A Chrisman Counselor 331 S Adams St, Green Bay, WI 54301-4515 2009-08-26
1457585614 Adam Miles Sturdevant Counselor 1049 Dousman St, Green Bay, WI 54303-3003 2009-05-04
1659538361 Regina E Cuellar-proctor Counselor 3150 Gershwin Dr, Green Bay, WI 54311-4328 2008-05-20
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Competitor

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City GREEN BAY
Zip Code 54311

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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