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MARK WEITKUM SAC-IT
NPI 1063647147
Counselor - Addiction (Substance Use Disorder) in Elkhorn, WI

Active since May 19, 2009
797 E GENEVA ST, ELKHORN, WI 53121(262) 723-1455(262) 723-1556 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Weitkum Sac-it NPPES

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

MARK WEITKUM SAC-IT (NPI 1063647147) is an individual addiction (substance use disorder) provider in Elkhorn, Wisconsin, licensed in Wisconsin (13705-130) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1063647147
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK WEITKUMCredential: SAC-IT
Location Address797 E GENEVA STElkhorn, WI 53121-2303
Mailing Address285 N Janacek RdBrookfield, WI 53045-6102 · (262) 641-9050 · Fax (262) 641-9126
Phone(262) 723-1455
Fax(262) 723-1556
Sole ProprietorNo
Enumeration DateMay 19, 2009
✔ NPI 1063647147 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 · 13705-130
797 E GENEVA ST, Elkhorn, WI 53121
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Other Providers at the Same Location NPPES 5

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

MEGAN HINTZ CADC III
Counselor (Addiction (Substance Use Disorder))
797 E GENEVA ST
ELKHORN, WI 53121
Walworth County (262) 723-1455
JOYCE PLACZKOWSKI SAC-IT
Counselor (Addiction (Substance Use Disorder))
797 E GENEVA ST
ELKHORN, WI 53121
Walworth County (262) 723-1455
ELLEN GREEN CADC III, CCS
Counselor (Addiction (Substance Use Disorder))
797 E GENEVA ST
ELKHORN, WI 53121
Walworth County (262) 723-1455
CANDACE RUMAN MS
Counselor
797 E GENEVA ST
ELKHORN, WI 53121
Walworth County (262) 723-1455
BRIAN WEXLER MSW, LPC, CADC-D
Counselor (Professional)
797 E GENEVA ST
ELKHORN, WI 53121
Walworth County (262) 723-1455

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 Mark Weitkum's NPI number?

The NPI number for Mark Weitkum is 1063647147. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Mark Weitkum located?

Mark Weitkum practices at 797 E Geneva St, Elkhorn, WI 53121. The listed phone number is (262) 723-1455.

What is Mark Weitkum'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 Mark Weitkum was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.