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JAMIE THEISEN SAC-IT
NPI 1154994382
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since July 24, 2021
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jamie Theisen Sac-it NPPES

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

JAMIE THEISEN SAC-IT (NPI 1154994382) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (19237-130) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1154994382
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAMIE THEISENCredential: SAC-IT
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740
Phone(920) 337-6740
Sole ProprietorNo
Enumeration DateJuly 24, 2021
NPPES CertifiedJuly 24, 2021
✔ NPI 1154994382 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 · 19237-130
2357 W MASON ST, Green Bay, WI 54303
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Other Identifiers 1

Medicaid42030700WI

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.

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
TANISHA JOHNSON
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
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 Jamie Theisen's NPI number?

The NPI number for Jamie Theisen is 1154994382. It was assigned to this individual provider in the NPPES registry on July 24, 2021.

Where is Jamie Theisen located?

Jamie Theisen practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Jamie Theisen'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 Jamie Theisen was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.