MRS. CHANDELL ANGELICA HINTZKE MS, SAC, LPC
NPI 1396085759
Counselor - Professional in West Bend, WI

Q: What is Chandell Hintzke's NPI number?

The NPI number for Chandell Hintzke is 1396085759. It was assigned to this individual provider in the NPPES registry on February 22, 2013.

Q: What is Chandell Hintzke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Chandell Hintzke was last updated on May 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 22, 2013PECOS Enrolled

400 W RIVER DR, WEST BEND, WI 53090(262) 334-4340(262) 334-4341 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Chandell Angelica Hintzke Ms, Sac, Lpc NPPES

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

MRS. CHANDELL ANGELICA HINTZKE MS, SAC, LPC (NPI 1396085759) is an individual professional provider in West Bend, Wisconsin and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Bend, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396085759

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. CHANDELL ANGELICA HINTZKECredential: MS, SAC, LPC

Location Address400 W RIVER DRWest Bend, WI 53090-1518

Mailing Address400 W River DrWest Bend, WI 53090-1518 · (262) 334-4340 · Fax (262) 334-4341

Phone(262) 334-4340

Fax(262) 334-4341

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateFebruary 22, 2013

Last NPPES UpdateMay 10, 2022

NPPES CertifiedMay 10, 2022

✔ NPI 1396085759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselorTaxonomy 101Y00000X · License 5813-125 (WI)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 16313-130 (WI)

400 W RIVER DR, West Bend, WI 53090

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Secondary Practice Location 1

Location 1125 N 6th Ave Ste 201West Bend, WI 53095-3394 · Phone (262) 334-4340 · Fax (262) 334-4341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Chandell Angelica Hintzke Ms, Sac, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244682359

PECOS Enrollment IDI20240113000395

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

MR. MICAL GUSTAVE SCHAFFER LCSW

Social Worker (Clinical)