JACKIE MAECHTLE (NPI# 1215318613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215318613 |
| Entity Type | Individual |
| Full Name | JACKIE MAECHTLE |
| Credential | SACIT |
| Practice Address |
1000 N Lynndale Dr Suite C Appleton WI 54914-3056 |
| Practice Telephone | 9207359010 |
| Practice Fax Number | 9207359050 |
| Mailing Telephone | 9207359010 |
| Mailing Fax Number | 9207359050 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17438-130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1000 N LYNNDALE DR SUITE C |
| City | APPLETON |
| State | WI |
| Zip Code | 54914-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194945378 | Options Treatment Programs, Inc | Clinic/Center | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3057 | 2007-04-27 |
| 1538609813 | Kaitlyn Krohn | Counselor | 1000 N Lynndale Dr, C, Appleton, WI 54914-3056 | 2017-03-06 |
| 1508308099 | Teresa Gross | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2016-11-15 |
| 1770938680 | Heather Lynn Mushrush | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2016-04-28 |
| 1306215892 | Jessica Schultz | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2015-09-15 |
| 1558792812 | Brandon Boe | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2013-12-11 |
| 1831441039 | Jerome Mutchie | Counselor | 1000 N Lynndale Dr, C, Appleton, WI 54914-3057 | 2012-10-11 |
| 1548496755 | Christy L Webster | Counselor | 1000 N Lynndale Dr, Suite C, Appleton, WI 54914-3056 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572429 | Claire Schuh | Social Worker | 3416 Association Ln, Appleton, WI 54914 | 2020-09-09 |
| 1568099729 | Access Elevator, Inc. | Contractor | 1314 W. College Ave, Appleton, WI 54914 | 2020-03-26 |
| 1124677885 | Sharon Darla Cornell | Technician | 3117 N. Mistwood Lane, Appleton, WI 54914 | 2019-09-05 |
| 1235647793 | Midwest Monitoring, LLC | Psychiatry & Neurology | 4321 W College Ave Ste 200, Appleton, WI 54914 | 2018-01-18 |
| 1356863252 | Uvanta Pharmacy LLC | Pharmacy | 1050 S Grider St, Suite C, Appleton, WI 54914 | 2017-07-12 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1609269489 | Shane Scott Urban | Social Worker | 444 N. Westhill Blvd., Appleton, WI 54914 | 2015-03-18 |
| 1699184580 | Michelle Becker | Nurse Practitioner | 4435 West Lawrence St., Appleton, WI 54914 | 2014-08-05 |
| 1972857514 | Jean Flesch | Pharmacist | 1000 W. Northland Ave., Appleton, WI 54914 | 2012-11-05 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| Find all providers in zip 54914 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373843 | Life Counseling & Consulting, LLC | Counselor | 101 W Edison Avenue, Suite 117, Appleton, WI 54915-1930 | 2019-12-13 |
| 1699233270 | A Village LLC | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2019-03-04 |
| 1578081766 | Erin Bozich | Counselor | 1000 N Lynndale Dr Ste C, Appleton, WI 54914-3057 | 2017-09-07 |
| 1124542709 | Anthony Edward Klingert | Counselor | 3003 N Richmond St # A, Appleton, WI 54911-1148 | 2017-07-26 |
| 1043661036 | Wisconsin Lutheran Child & Family Service | Counselor | 5300 N Meade St, Appleton, WI 54913-8383 | 2016-06-30 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| 1356766406 | Renee Taylor | Counselor | 201 S Glenridge Ct, Appleton, WI 54914-3905 | 2014-02-26 |
| 1720351729 | James Edward Reider | Counselor | 3301 3301 N. Ballard Road, Appleton, WI 54911-9002 | 2012-02-22 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| Find all providers in APPLETON | ||||
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| 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.