ANDREW JAMES JACOBCHICK (NPI# 1265068415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265068415 |
| Entity Type | Individual |
| Full Name | ANDREW JAMES JACOBCHICK |
| Credential | BA, SAC-IT |
| Practice Address |
820 Hwy 67 Kiel WI 53042-1627 |
| Practice Telephone | 9207974457 |
| Practice Fax Number | 9208941373 |
| Mailing Telephone | 9207974457 |
| Mailing Fax Number | 9208941373 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
820 HWY 67 |
| City | KIEL |
| State | WI |
| Zip Code | 53042-1627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205467628 | Jordyn Catherine Kohlmann | Pharmacist | 1001 Service Road, Suite 101, Kiel, WI 53042 | 2020-02-04 |
| 1619397791 | Jody Muten | Registered Nurse | 416 Niagara Street, Kiel, WI 53042 | 2014-04-16 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1407928989 | City of Kiel Office of Administrator | Ambulance | 99 East Fremont St, Kiel, WI 53042 | 2006-11-14 |
| 1780781096 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 632 Fremont St., Kiel, WI 53042 | 2006-09-20 |
| 1821010901 | Catherine A Eggert | Optometrist | 700 Park Ave., Kiel, WI 53042 | 2006-07-24 |
| 1992765937 | Rachel Ann Henkel | Registered Nurse | 716 Milwaukee St, Kiel, WI 53042 | 2006-03-24 |
| 1245452614 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Service Rd, Kiel, WI 53042 | 2007-05-03 |
| 1588714984 | Schleicher Chiropractic, Sc | Chiropractor | 730 Calumet Ave, Kiel, WI 53042-1000 | 2007-01-11 |
| 1114162468 | Giebler Chiropractic, LLC | Chiropractor | 730 Calumet Ave, Kiel, WI 53042-1000 | 2008-12-15 |
| Find all providers in zip 53042 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811551138 | Jeffrey Lee Janikowski | Counselor | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2019-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANDREW JAMES JACOBCHICK.
| 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.