Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NOURISHING CHANGE
NPI 1588575245
Clinic/Center - Mental Health (Including Community Mental Health Center) in Menasha, WI

Active since September 14, 2026
1476 KENWOOD DR STE 102, MENASHA, WI 54952(920) 939-8868(920) 939-7042 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Nourishing Change NPPES

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

NOURISHING CHANGE (NPI 1588575245) is a healthcare organization registered as a mental health (including community mental health center) in Menasha, Wisconsin and active in the NPI registry since September 2026. The organization lists Amy Megan Taake, Owner/ Therapist, as its authorized official.

NPPES Registry Identity

NPI1588575245
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNOURISHING CHANGE
Location Address1476 KENWOOD DR STE 102Menasha, WI 54952-1134
Mailing Address1476 Kenwood Dr Ste 102Menasha, WI 54952-1134 · (920) 939-8868 · Fax (920) 939-7042
Fax(920) 939-7042
Organization SubpartNo
Authorized OfficialAmy Megan TaakeOwner/ Therapist · (920) 939-8868
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1588575245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1476 KENWOOD DR STE 102, Menasha, WI 54952

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
1476 KENWOOD DR STE 102
MENASHA, WI 54952
Counselor (Professional)
1476 KENWOOD DR STE 102
MENASHA, WI 54952
Community/Behavioral Health
1476 KENWOOD DR STE 102
MENASHA, WI 54952

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 Nourishing Change's NPI number?

The NPI number for Nourishing Change is 1588575245. It was assigned to this organization in the NPPES registry on September 14, 2026.

Where is Nourishing Change located?

Nourishing Change is located at 1476 Kenwood Dr Ste 102, Menasha, WI 54952. The listed phone number is (920) 939-8868.

What is Nourishing Change's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Nourishing Change was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.