JACOB J LICHMAN JR. CSAC IDP/AT
NPI 1306140967
Counselor - Addiction (Substance Use Disorder) in Montello, WI

Q: What is Jacob Lichman's NPI number?

The NPI number for Jacob Lichman is 1306140967. It was assigned to this individual provider in the NPPES registry on December 22, 2010. The provider is also known as Jay J Lichman Csac Idp/At.

Q: What is Jacob Lichman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Lichman was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since December 22, 2010

N3829 STATE ROAD 22, MONTELLO, WI 53949(608) 297-2085(608) 297-2426 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jacob J Lichman Jr. Csac Idp/at NPPES

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

JACOB J LICHMAN JR. CSAC IDP/AT (NPI 1306140967) is an individual addiction (substance use disorder) provider in Montello, Wisconsin, licensed in Wisconsin (1853-132) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1306140967

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJACOB J LICHMAN JR.Credential: CSAC IDP/AT

Location AddressN3829 STATE ROAD 22Montello, WI 53949-9049

Mailing AddressPo Box 57Montello, WI 53949-0057 · (608) 297-2085 · Fax (608) 297-2426

Phone(608) 297-2085

Fax(608) 297-2426

Sole ProprietorNo

Enumeration DateDecember 22, 2010

✔ NPI 1306140967 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 · 1853-132

N3829 STATE ROAD 22, Montello, WI 53949

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Other Names 1

Other Name (5)Jay J Lichman Csac Idp/at

Other Providers at the Same Location NPPES

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

MARQUETTE CHEMICAL DEPENDENCY SERVICE

Case Management

N3829 STATE ROAD 22
MONTELLO, WI 53949

Marquette County (608) 297-2085

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 Lichman's NPI number?

The NPI number for Jacob Lichman is 1306140967. It was assigned to this individual provider in the NPPES registry on December 22, 2010. The provider is also known as Jay J Lichman Csac Idp/At.

Where is Jacob Lichman located?

Jacob Lichman practices at N3829 State Road 22, Montello, WI 53949. The listed phone number is (608) 297-2085.

What is Jacob Lichman'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 Jacob Lichman was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.