SADIE CHEYENNE WILSON (NPI# 1447873484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447873484 |
| Entity Type | Individual |
| Full Name | SADIE CHEYENNE WILSON |
| Credential | LPC-IT |
| Practice Address |
5750 W Grande Market Dr Ste A Appleton WI 54913-8406 |
| Mailing Address |
214 S Ontario St De Pere WI 54115-2931 |
| Practice Telephone | 9209031060 |
| Mailing Telephone | 9204719872 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
5750 W GRANDE MARKET DR STE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649671629 | Sheng Boualong Lee Yang | Counselor | 5750 W Grande Market Dr Ste A, Appleton, WI 54913-8406 | 2014-09-10 |
| 1508484833 | Mckenna Garvey | Social Worker | 5750 W Grande Market Dr Ste A, Appleton, WI 54913-8406 | 2020-07-13 |
| 1083268635 | Us 2 Behavioral Health Care Inc | Counselor | 5750 W Grande Market Dr Ste A, Appleton, WI 54913-8406 | 2019-07-31 |
| 1346735891 | Kinsey Beth Pierre | Social Worker | 5750 W Grande Market Dr Ste A, Appleton, WI 54913-8406 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962633 | Amy Felice Woolf | Counselor | 6 Northbreeze Cir, Appleton, WI 54911-1247 | 2020-04-28 |
| 1649819145 | Ellen J. Lutz | Counselor | 2031 E Calumet St., Appleton, WI 54915-4742 | 2019-12-31 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1487124848 | Kathleen N Huskey | Counselor | 516 E Wisconsin Ave, Appleton, WI 54911-4863 | 2018-11-28 |
| 1255860912 | Appleton Counseling Management LLC | Counselor | 477 S Nicolet Rd., Appleton, WI 54914 | 2017-06-07 |
| 1972915700 | Adalia Maritza Jansen | Counselor | 3701 E Evergreen Dr Ste 260, Appleton, WI 54913-7402 | 2014-05-28 |
| 1275809352 | A Single Step, LLC | Counselor | 821 E 1st Ave Ste 5, Appleton, WI 54911-1586 | 2012-03-22 |
| 1811216484 | Jodi Lynn Huebner | Counselor | 1045 N Lynndale Dr Ste 2d, Appleton, WI 54914-3048 | 2010-05-21 |
| 1316186141 | Kate Mary Mccarthy | Counselor | 3003 N Richmond St, Appleton, WI 54911-1148 | 2009-02-18 |
| 1144487620 | Evie Kalyani Lafountain | Counselor | 5506 Michaels Dr Apt 1, Appleton, WI 54913-8648 | 2008-05-21 |
| 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.