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: August 09, 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

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.

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.

Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychiatry & Neurology (Psychiatry)
1095 MIDWAY RD
MENASHA, WI 54952
Counselor
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Psychologist (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker
1095 MIDWAY RD
MENASHA, WI 54952
Counselor (Addiction (Substance Use Disorder))
1095 MIDWAY RD
MENASHA, WI 54952
Social Worker (Clinical)
1095 MIDWAY RD
MENASHA, WI 54952

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.

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 Medica and 2 other insurers 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.