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JACOBS WELL PRESBYTERIAN CHURCHA
NPI 1164006573
Clinic/Center - Mental Health (Including Community Mental Health Center) in Green Bay, WI

Active since May 11, 2021
3340 LINEVILLE RD, GREEN BAY, WI 54313(920) 264-9564 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacobs Well Presbyterian Churcha NPPES

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

JACOBS WELL PRESBYTERIAN CHURCHA (NPI 1164006573), doing business as Jacobs Well Church Counseling, 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 May 2021. The organization lists Spencer Rea Hansen Thomas, Pastor Of Care And Counseling, as its authorized official.

NPPES Registry Identity

NPI1164006573
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJACOBS WELL PRESBYTERIAN CHURCHA
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 ThomasPastor Of Care And Counseling · (309) 532-2364
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
✔ NPI 1164006573 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 Names 1

Doing Business AsJacobs Well Church Counseling

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.

JACOB'S WELL PRESBYTERIAN CHURCH
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 Jacobs Well Presbyterian Churcha's NPI number?

The NPI number for Jacobs Well Presbyterian Churcha is 1164006573. It was assigned to this organization in the NPPES registry on May 11, 2021. The provider is doing business as Jacobs Well Church Counseling.

Where is Jacobs Well Presbyterian Churcha located?

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

What is Jacobs Well Presbyterian Churcha'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 Jacobs Well Presbyterian Churcha was last updated on May 11, 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.