CCP CLINIC, LLC
NPI 1396431714
Psychologist - Clinical in De Pere, WI

Q: What is Ccp Clinic, LLC's NPI number?

The NPI number for Ccp Clinic, LLC is 1396431714. It was assigned to this organization in the NPPES registry on April 18, 2023.

Q: What is Ccp Clinic, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ccp Clinic, LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 18, 2023

3301 PACKERLAND DR STE B, DE PERE, WI 54115(920) 234-9240 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ccp Clinic, Llc NPPES

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

CCP CLINIC, LLC (NPI 1396431714) is a healthcare organization registered as a clinical in De Pere, Wisconsin and active in the NPI registry since April 2023. The organization maintains 3 additional practice locations and lists Jaclyn Geitner, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1396431714

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCCP CLINIC, LLC

Location Address3301 PACKERLAND DR STE BDe Pere, WI 54115-9533

Mailing Address3301 Packerland Dr Ste BDe Pere, WI 54115-9533 · (651) 491-1346

Phone(920) 234-9240

Organization SubpartNo

Authorized OfficialJaclyn GeitnerCo-owner · (651) 491-1346

Enumeration DateApril 18, 2023

Last NPPES UpdateApril 3, 2025

NPPES CertifiedMarch 29, 2025

✔ NPI 1396431714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

3301 PACKERLAND DR STE B, De Pere, WI 54115

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Secondary Practice Locations 3

Location 13301 N Ballard Rd Ste CAppleton, WI 54911-9002 · Phone (920) 234-9240 · Fax (920) 364-6096

Location 2424 E Longview DrAppleton, WI 54911-2167 · Phone (920) 234-9240 · Fax (920) 364-6096

Location 39000 W Chester St Ste 100Milwaukee, WI 53214-1372 · Phone (920) 234-9240 · Fax (920) 364-6096

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIE HURRISH

Counselor (Professional)

3301 PACKERLAND DR STE B
DE PERE, WI 54115

Brown County (920) 234-9240

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 Ccp Clinic, LLC's NPI number?

The NPI number for Ccp Clinic, LLC is 1396431714. It was assigned to this organization in the NPPES registry on April 18, 2023.

Where is Ccp Clinic, LLC located?

Ccp Clinic, LLC is located at 3301 Packerland Dr Ste B, De Pere, WI 54115. The listed phone number is (920) 234-9240.

What is Ccp Clinic, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Ccp Clinic, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Quartz and 1 other insurer list Ccp Clinic, 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 Ccp Clinic, LLC was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.