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MR. JACOB P SPANGENBERG CSAC
NPI 1043510084
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since October 25, 2010
2979 ALLIED ST, UNIT C, GREEN BAY, WI 54304(920) 337-6740(920) 337-6741 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob P Spangenberg Csac NPPES

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

MR. JACOB P SPANGENBERG CSAC (NPI 1043510084) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (15832-132) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1043510084
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JACOB P SPANGENBERGCredential: CSAC
Location Address2979 ALLIED ST, UNIT CGreen Bay, WI 54304-5567
Mailing Address2979 Allied St, Unit CGreen Bay, WI 54304-5567 · (920) 337-6740 · Fax (920) 337-6741
Phone(920) 337-6740
Fax(920) 337-6741
Sole ProprietorNo
Enumeration DateOctober 25, 2010
Last NPPES UpdateDecember 2, 2014
✔ NPI 1043510084 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 · 15832-132
2979 ALLIED ST, Green Bay, WI 54304
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Other Identifiers 1

Medicaid10063000WI

Other Providers at the Same Location NPPES 6

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

MARY A BOSTIC
Registered Nurse
2979 ALLIED ST
ASHWAUBENON, WI 54304
Brown County (262) 549-6600
MR. DARREN MICHAEL PORTER CSAC
Counselor (Professional)
2979 ALLIED ST
GREEN BAY, WI 54304
Brown County (920) 337-6740
JENNIFER A TISCHAUSER LPN
Licensed Practical Nurse
2979 ALLIED ST
ASHWAUBENON, WI 54304
Brown County (262) 549-6600
MRS. CAROL ANN PICHETTE-KROS RN
Registered Nurse (Addiction (Substance Use Disorder))
2979 ALLIED ST
ASHWAUBENON, WI 54304
Brown County (920) 337-6740
MR. DARRYL RAY WHEELER CSAC
Counselor (Addiction (Substance Use Disorder))
2979 ALLIED ST
GREEN BAY, WI 54304
Brown County (262) 549-6600
AMY THOMAS
Licensed Practical Nurse
2979 ALLIED ST
GREEN BAY, WI 54304
Brown County (920) 337-6740

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 Jacob Spangenberg's NPI number?

The NPI number for Jacob Spangenberg is 1043510084. It was assigned to this individual provider in the NPPES registry on October 25, 2010.

Where is Jacob Spangenberg located?

Jacob Spangenberg practices at 2979 Allied St Unit C, Green Bay, WI 54304. The listed phone number is (920) 337-6740.

What is Jacob Spangenberg'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 Jacob Spangenberg was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.