MERAKI THERAPY & WELLNESS, LLC
NPI 1407593619
Counselor in Green Bay, WI

Active since May 18, 2022
1270 MAIN ST STE 120, GREEN BAY, WI 54302(920) 378-3575 Get Directions Write a Review

NPPES record last updated: November 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2022, May 18, 2022 (2 updates tracked since 2022).

  • Organization
  • Counselor

About MERAKI THERAPY & WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Meraki Therapy & Wellness, Llc, a provider established in Green Bay, Wisconsin operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1407593619 assigned on May 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Meraki Therapy & Wellness, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Waack Mac, Lpc, Csac (Co-owner)

NPI
1407593619 Verify this NPI
Provider Name
MERAKI THERAPY & WELLNESS, LLC
Entity Type
Organization
Location Address
1270 MAIN ST STE 120 GREEN BAY, WI 54302
Location Phone
(920) 378-3575
Mailing Address
1270 MAIN ST STE 120 GREEN BAY, WI 54302
Mailing Phone
(920) 288-2846
Mailing Fax
(920) 770-4153
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-18-2022
Last Update Date
11-13-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE WAACK MAC, LPC, CSAC

Authorized Official Title
CO-OWNER
Authorized Official Phone
(920) 288-2846

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100095134MEDICAID (05)WI 
1336784545MEDICAID (05)WI 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor
1270 MAIN ST STE 120
GREEN BAY, WI 54302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407593619, enumerated as an "organization" on May 18, 2022.

The provider is located at 1270 MAIN ST STE 120 GREEN BAY, WI 54302 and the phone number is (920) 378-3575.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.