KELLY TIMMERS
NPI 1598826364
Counselor - Addiction (Substance Use Disorder) in Menasha, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since December 13, 2006

1095 MIDWAY RD, MENASHA, WI 54952(920) 720-2300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly Timmers NPPES

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

KELLY TIMMERS (NPI 1598826364) is an individual addiction (substance use disorder) provider in Menasha, Wisconsin, licensed in Wisconsin (11108) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1598826364

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY TIMMERS

Location Address1095 MIDWAY RDMenasha, WI 54952-1115

Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3298

Phone(920) 720-2300

Sole ProprietorNo

Enumeration DateDecember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1598826364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 11108

1095 MIDWAY RD, Menasha, WI 54952

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Other Identifiers 1

Medicaid39385200WI

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.

JOANNA MORGAN CSAC

Counselor