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JACOB'S WELL PRESBYTERIAN CHURCH
NPI 1124798970
Clinic/Center - Mental Health (Including Community Mental Health Center) in Green Bay, WI

Active since September 14, 2021
3340 LINEVILLE RD, GREEN BAY, WI 54313(920) 264-9564 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob's Well Presbyterian Church NPPES

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

JACOB'S WELL PRESBYTERIAN CHURCH (NPI 1124798970) is a healthcare organization registered as a mental health (including community mental health center) in Green Bay, Wisconsin and active in the NPI registry since September 2021. The organization lists Spencer Rea Hansen Thomas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124798970
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJACOB'S WELL PRESBYTERIAN CHURCH
Location Address3340 LINEVILLE RDGreen Bay, WI 54313-7237
Mailing Address3340 Lineville RdGreen Bay, WI 54313-7237 · (920) 264-9564
Phone(920) 264-9564
Organization SubpartNo
Authorized OfficialSpencer Rea Hansen ThomasExecutive Director · (309) 532-2364
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1124798970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3340 LINEVILLE RD, Green Bay, WI 54313
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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.

JACOBS WELL PRESBYTERIAN CHURCHA
Clinic/Center (Mental Health (Including Community Mental Health Center))
3340 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 264-9564
JACOB'S WELL COUNSELING CENTER INC
Counselor (Professional)
3340 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 562-6236
SPENCER REA HANSEN THOMAS LPC
Counselor (Professional)
3340 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 264-9564
ERIN LUTTSCHWAGER MA, LPC, NCC
Counselor (Professional)
3340 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 217-8558
JOHNSON COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3340 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 486-0376

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's Well Presbyterian Church's NPI number?

The NPI number for Jacob's Well Presbyterian Church is 1124798970. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Jacob's Well Presbyterian Church located?

Jacob's Well Presbyterian Church is located at 3340 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 264-9564.

What is Jacob's Well Presbyterian Church's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Jacob's Well Presbyterian Church was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.