THEDACARE BEHAVIORAL HEALTH
NPI 1306959515
Counselor in Menasha, WI

Active since August 15, 2006CLIA 52D0946874 · Certificate of Compliance
1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 2, 2024, Aug 29, 2019 (2 updates tracked since 2019).

About Thedacare Behavioral Health NPPES

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

THEDACARE BEHAVIORAL HEALTH (NPI 1306959515) is a healthcare organization registered as a counselor in Menasha, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 1, 2027 and lists William Flett, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306959515
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameTHEDACARE, INCORPORATED
Location Address1095 MIDWAY RDMenasha, WI 54952-1115
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Organization SubpartNo
Authorized OfficialWilliam FlettCfo · (920) 454-4013
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 2, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1306959515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1095 MIDWAY RD, Menasha, WI 54952

Other Names 1

Doing Business AsThedacare Behavioral Health

Other Identifiers 5

Medicaid42185300WI
Medicaid42186500WI
Medicaid42213400WI
Medicaid21277600WI
Medicaid42189600WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thedacare Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

986

Medicare enrollment records show 986 clinicians reassign Medicare billing to Thedacare Behavioral Health, which bills Medicare for the services they deliver. Of these, 37 practice at this address and 481 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner313
Family Practice129
Hospitalist80
Internal Medicine52
Neurology48
Pediatric Medicine44
Orthopedic Surgery29
Cardiovascular Disease (Cardiology)27
34 other specialties264

Nearest to this location (20)

See all 986
Psychiatry
NPI 1467853705
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1558438259
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-3700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497534036
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1003978859
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOSSame address
Mental Health Counselor
NPI 1841544285
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1578620761
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326918442
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1962568014
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1558846220
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1699137349
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1508911959
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1942876008
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1023628203
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-3870
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1194346288
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOSSame address
Neuropsychiatry
NPI 1821874645
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1942085618
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOSSame address
Clinical Social Worker
NPI 1336023779
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083479539
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1104600824
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548805526
1095 MIDWAY RD
Menasha, WI 54952
(920) 720-2300
✔ PECOS✔ Accepts MedicareSame address
See all 986 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D0946874

Thedacare Physicians Menasha · Menasha, WI
Active · expires May 1, 2027
CLIA Number52D0946874
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorDr. Rebecca Buell-Gutbrod
Laboratory Phone(920) 454-8701
Laboratory LocationThedacare Physicians Menasha2005 Midway Rd, Menasha, WI 54952
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Thedacare, Incorporated's NPI number?

The NPI number for Thedacare, Incorporated is 1306959515. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Thedacare Behavioral Health.

Where is Thedacare, Incorporated located?

Thedacare, Incorporated is located at 1095 Midway Rd, Menasha, WI 54952. The listed phone number is (920) 720-2300.

What is Thedacare, Incorporated's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Thedacare, Incorporated enrolled in Medicare?

Yes. Thedacare, Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thedacare, Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 986 clinicians in 42 Medicare specialties reassign their Medicare billing to Thedacare, Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (313), Family Practice (129) and Hospitalist (80). Of these, 37 practice at this address and 481 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Thedacare, Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0946874) is associated with this NPI, valid through May 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thedacare, Incorporated accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Thedacare, Incorporated 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 Thedacare, Incorporated was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.