MS. KRISTINE KAY SACK (NPI# 1215291950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215291950 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE KAY SACK |
| Credential | LPC |
| Practice Address |
926 Willard Drive Ste 136 Green Bay WI 54304-5071 |
| Practice Telephone | 9204615820 |
| Practice Fax Number | 8884496342 |
| Mailing Telephone | 9204615820 |
| Mailing Fax Number | 8884496342 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 5307-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
926 WILLARD DRIVE STE 136 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54304-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1649671421 | Heather Marie Novak | Counselor | 2979 Allied St Unit C, Green Bay, WI 54304 | 2014-09-11 |
| 1356777684 | Nathan Weir | Specialist/Technologist | 1265 Lombardi Avenue, Green Bay, WI 54304 | 2013-09-18 |
| 1922349927 | John W Hartman | Internal Medicine | 916 Willard Dr, Suite 200, Green Bay, WI 54304 | 2013-03-15 |
| 1447551379 | Citralina M Haruo | Community Health Worker | 1110 11th Avenue, Green Bay, WI 54304 | 2010-11-09 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1316259898 | Karen A Detrick | Occupational Therapy Assistant | 1040 Pilgram Way, Woodside Senior Communities, Green Bay, WI 54304 | 2010-07-13 |
| 1861667362 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 2605 S. Oneida St. Suite 107, Green Bay, WI 54304 | 2008-04-25 |
| 1891967303 | Kimberley M Welk | Marriage & Family Therapist | 926 Willard Dr Ste 136, Green Bay, WI 54304 | 2008-03-25 |
| 1750563698 | Richard Lawrence Beyer | Hearing Instrument Specialist | 2154 S Ridge Rd, Green Bay, WI 54304 | 2007-12-03 |
| Find all providers in zip 54304 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
| 1649825159 | Ashley L Scott | Counselor | 416 Crooks St, Green Bay, WI 54301-4529 | 2019-08-02 |
| 1184717092 | Catherine S.c. Mackenzie | Counselor | 444 South Adams St, Suite 6, Green Bay, WI 54301 | 2006-10-02 |
| 1730272642 | Julie Ann Kruk | Counselor | 444 South Adams St., Suite 6, Green Bay, WI 54301 | 2006-10-02 |
| 1609972280 | Suzette Carolyn-eve Diederich | Counselor | 3867 Robin Ln, Green Bay, WI 54313-4601 | 2006-09-15 |
| 1013562230 | Sara Noel Wisneski | Counselor | 1061 W Mason St, Green Bay, WI 54303-1858 | 2019-08-05 |
| 1821568437 | John R Cheslock | Counselor | 626 S Irwin Ave, Green Bay, WI 54301-3304 | 2018-11-27 |
| 1164952933 | Rebecca Lou Rauens | Counselor | 1499 6th St, Green Bay, WI 54304-2252 | 2017-06-14 |
| 1932642592 | Stacie M Koskinen | Counselor | 300 Crooks St, Green Bay, WI 54301-4527 | 2016-11-29 |
| 1477908812 | Samantha Jane Mckenzie | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2016-05-03 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on MS. KRISTINE KAY SACK.
| 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.