MARY M MCKAY CADC LLL
NPI 1114135167
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since May 21, 2007
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301(920) 433-3630 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary M Mckay Cadc Lll NPPES

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

MARY M MCKAY CADC LLL (NPI 1114135167) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (11588) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1114135167
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY M MCKAYCredential: CADC LLL
Location Address301 E SAINT JOSEPH STGreen Bay, WI 54301-2241
Mailing Address301 E Saint Joseph StGreen Bay, WI 54301-2241 · (920) 433-3630
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1114135167 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 · 11588
301 E SAINT JOSEPH ST, Green Bay, WI 54301

Other Identifiers 1

Medicaid39392300WI

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Nurse Practitioner (Psychiatric/Mental Health)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Psychologist
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Counselor (Professional)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301
Social Worker (Clinical)
301 E SAINT JOSEPH ST
GREEN BAY, WI 54301

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 Mary Mckay's NPI number?

The NPI number for Mary Mckay is 1114135167. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Mary Mckay located?

Mary Mckay practices at 301 E Saint Joseph St, Green Bay, WI 54301. The listed phone number is (920) 433-3630.

What is Mary Mckay'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 Mary Mckay was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.