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AUTUMN LEIGH LAKE
NPI 1437738374
Student in an Organized Health Care Education/Training Program in Oconto Falls, WI

Active since April 07, 2021
4340 ELM LAWN RD, OCONTO FALLS, WI 54154(920) 944-9373 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autumn Leigh Lake NPPES

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

AUTUMN LEIGH LAKE (NPI 1437738374) is an individual student in an organized health care education/training program in Oconto Falls, Wisconsin and active in the NPI registry since April 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437738374
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAUTUMN LEIGH LAKE
Location Address4340 ELM LAWN RDOconto Falls, WI 54154-9656
Mailing Address4340 Elm Lawn RdOconto Falls, WI 54154-9656 · (715) 330-1773 · Fax (920) 260-2023
Phone(920) 944-9373
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1437738374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedBehavior AnalystTaxonomy 103K00000X · License RBT21159367 (TX)
4340 ELM LAWN RD, Oconto Falls, WI 54154
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Secondary Practice Locations 2

Location 1718 Hall Hay StCrivitz, WI 54114-1673 · Phone (920) 260-2023
Location 21504 Thomas StMarinette, WI 54143-2332 · Phone (715) 330-1773

Other Providers at the Same Location NPPES 4

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

CASSIDY MICHAEL SALM LPC, SAC-IT
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 944-9373
OAK RIDGE COUNSELING & CONSULTING LLC
Community/Behavioral Health
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 264-7845
ABBY HUNTLEY PHD, LPC, NCC
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 264-7845
ANGEL LYNN ANDERSON CSAC, LPC
Counselor (Professional)
4340 ELM LAWN RD
OCONTO FALLS, WI 54154
Oconto County (920) 370-7676

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 Autumn Lake's NPI number?

The NPI number for Autumn Lake is 1437738374. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Autumn Lake located?

Autumn Lake practices at 4340 Elm Lawn Rd, Oconto Falls, WI 54154. The listed phone number is (920) 944-9373.

What is Autumn Lake's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Autumn Lake was last updated on June 29, 2023. 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.