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KAITLYN TYYNISMAA SACIT
NPI 1346963287
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since September 26, 2022
2357 W MASON ST, GREEN BAY, WI 54303(920) 265-5704(920) 337-6741 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2022, Sep 26, 2022 (2 updates tracked since 2022).

About Kaitlyn Tyynismaa Sacit NPPES

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

KAITLYN TYYNISMAA SACIT (NPI 1346963287) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (19579-130) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1346963287
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAITLYN TYYNISMAACredential: SACIT
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 265-5704
Phone(920) 265-5704
Fax(920) 337-6741
Sole ProprietorNo
Enumeration DateSeptember 26, 2022
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1346963287 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 · 19579-130
2357 W MASON ST, Green Bay, WI 54303
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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.

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JAMIE THEISEN SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Kaitlyn Tyynismaa's NPI number?

The NPI number for Kaitlyn Tyynismaa is 1346963287. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Kaitlyn Tyynismaa located?

Kaitlyn Tyynismaa practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 265-5704.

What is Kaitlyn Tyynismaa'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 Kaitlyn Tyynismaa was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.