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TREVOR KONETZKE SAC-IT
NPI 1013661131
Counselor - Addiction (Substance Use Disorder) in Appleton, WI

Active since February 08, 2022
201 S GLENRIDGE CT, APPLETON, WI 54914(920) 731-3981 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trevor Konetzke Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR KONETZKE SAC-IT (NPI 1013661131) is an individual addiction (substance use disorder) provider in Appleton, Wisconsin, licensed in Wisconsin (19489-130) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1013661131
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTREVOR KONETZKECredential: SAC-IT
Location Address201 S GLENRIDGE CTAppleton, WI 54914-3905
Mailing Address201 S Glenridge CtAppleton, WI 54914-3905
Phone(920) 731-3981
Sole ProprietorNo
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1013661131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 19489-130
201 S GLENRIDGE CT, Appleton, WI 54914
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA SAUERBERG CSAC
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 731-3981
MICHAEL DEBRUIN SAC-IT
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (414) 552-8427
MELISSA SORCIC SAC-IT
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 750-3332
DOROTHY SIMMONS
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 731-3981
RENEE TAYLOR LPC
Counselor (Professional)
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 731-3981
NOEL EVELYN SCHULTZ SAC
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 731-3981
APRICITY OUTPATIENT & PEER SUPPORT SERVICES
Clinic/Center (Rehabilitation, Substance Use Disorder)
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 722-2345
JOSHUA GROOM CSAC
Counselor (Addiction (Substance Use Disorder))
201 S GLENRIDGE CT
APPLETON, WI 54914
Outagamie County (920) 279-9268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Konetzke's NPI number?

The NPI number for Trevor Konetzke is 1013661131. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Trevor Konetzke located?

Trevor Konetzke practices at 201 S Glenridge Ct, Appleton, WI 54914. The listed phone number is (920) 731-3981.

What is Trevor Konetzke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Trevor Konetzke was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.