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BEAUTIFULLY BROKEN COUNSELING LLC
NPI 1336889062
Counselor - Mental Health in De Pere, WI

Active since March 30, 2022
1216 MAPLEWOOD CT, DE PERE, WI 54115(920) 334-0607 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Beautifully Broken Counseling Llc NPPES

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

BEAUTIFULLY BROKEN COUNSELING LLC (NPI 1336889062) is a healthcare organization registered as a mental health in De Pere, Wisconsin and active in the NPI registry since March 2022. The organization lists Amanda Radtke, Owner, as its authorized official.

NPPES Registry Identity

NPI1336889062
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBEAUTIFULLY BROKEN COUNSELING LLC
Location Address1216 MAPLEWOOD CTDe Pere, WI 54115-4232
Mailing Address1216 Maplewood CtDe Pere, WI 54115-4232
Phone(920) 334-0607
Organization SubpartNo
Authorized OfficialAmanda RadtkeOwner · (920) 334-0607
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1336889062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1216 MAPLEWOOD CT, De Pere, WI 54115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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 Beautifully Broken Counseling LLC's NPI number?

The NPI number for Beautifully Broken Counseling LLC is 1336889062. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Beautifully Broken Counseling LLC located?

Beautifully Broken Counseling LLC is located at 1216 Maplewood Ct, De Pere, WI 54115. The listed phone number is (920) 334-0607.

What is Beautifully Broken Counseling LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Beautifully Broken Counseling LLC accept?

Health plans from CareSource (Common Ground Healthcare) list Beautifully Broken Counseling LLC 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 Beautifully Broken Counseling LLC was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.