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KATHLEEN CLAIRE GLICK LPC, NCC
NPI 1285032565
Counselor - Professional in Neenah, WI

Active since December 18, 2014Opted out of Medicare · through Jul 13, 2028
40 JEWELERS PARK DR STE 200, NEENAH, WI 54956(920) 521-7133(920) 521-7134 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 9, 2019, Feb 15, 2019 (2 updates tracked since 2019).

About Kathleen Claire Glick Lpc, Ncc NPPES

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

KATHLEEN CLAIRE GLICK LPC, NCC (NPI 1285032565) is an individual professional provider in Neenah, Wisconsin, licensed in Wisconsin (6133-125) and active in the NPI registry since December 2014. She has opted out of Medicare through July 13, 2028.

NPPES Registry Identity

NPI1285032565
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN CLAIRE GLICKCredential: LPC, NCC
Location Address40 JEWELERS PARK DR STE 200Neenah, WI 54956-3893
Mailing Address40 Jewelers Park Dr Ste 200Neenah, WI 54956-3893 · (920) 521-7133 · Fax (920) 521-7134
Phone(920) 521-7133
Fax(920) 521-7134
Sole ProprietorYes
Enumeration DateDecember 18, 2014
Last NPPES UpdateOctober 9, 20192 updates tracked since enumeration
✔ NPI 1285032565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 6133-125
40 JEWELERS PARK DR STE 200, Neenah, WI 54956
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kathleen Claire Glick Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2024 through July 13, 2028.

Opt-Out Effective DateJuly 13, 2024
Opt-Out In Effect ThroughJuly 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DANEL BURCHBY
Social Worker (Clinical)
40 JEWELERS PARK DR STE 200
NEENAH, WI 54956
Winnebago County (920) 720-6000
KAITLYN A GITTER M.A.
Counselor (Professional)
40 JEWELERS PARK DR STE 200
NEENAH, WI 54956
Winnebago County (920) 486-4289
MRS. KATHLEEN KIM THOME MSED, LPC
Counselor (Professional)
40 JEWELERS PARK DR STE 200
NEENAH, WI 54956
Winnebago County (920) 486-4288

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 Kathleen Glick's NPI number?

The NPI number for Kathleen Glick is 1285032565. It was assigned to this individual provider in the NPPES registry on December 18, 2014.

Where is Kathleen Glick located?

Kathleen Glick practices at 40 Jewelers Park Dr Ste 200, Neenah, WI 54956. The listed phone number is (920) 521-7133.

What is Kathleen Glick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kathleen Glick enrolled in Medicare?

No. Kathleen Glick has opted out of Medicare through July 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kathleen Glick accept?

Health plans from Medica and UnitedHealthcare list Kathleen Glick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Glick was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.