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HOLLEY DORNFELD SAC-IT
NPI 1669072872
Counselor - Addiction (Substance Use Disorder) in Green Lake, WI

Active since October 27, 2020
571 COUNTY ROAD A, GREEN LAKE, WI 54941(920) 294-4070(920) 294-4139 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holley Dornfeld Sac-it NPPES

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

HOLLEY DORNFELD SAC-IT (NPI 1669072872) is an individual addiction (substance use disorder) provider in Green Lake, Wisconsin, licensed in Wisconsin (19295-130) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1669072872
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHOLLEY DORNFELDCredential: SAC-IT
Location Address571 COUNTY ROAD AGreen Lake, WI 54941-8630
Mailing Address571 County Road AGreen Lake, WI 54941-8630 · (920) 294-4070 · Fax (920) 294-4139
Phone(920) 294-4070
Fax(920) 294-4139
Sole ProprietorNo
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1669072872 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 · 19295-130
571 COUNTY ROAD A, Green Lake, WI 54941
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Other Providers at the Same Location NPPES 18

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

LISA ANN ROLLIN RN
Health Educator
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
LAUREN RENEE OLSON
Health Educator
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
AMY M HIGGINBOTHAM MS
Counselor (Mental Health)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
JESSICA A. BOWMAN LCSW
Social Worker (Clinical)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
ABBY NOEL VOGT
Counselor (Addiction (Substance Use Disorder))
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
TRIXIE MURPHY LCSW, SAC-IT
Social Worker (Clinical)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
SHIRLEY J. DAWSON M.D.
Psychiatry & Neurology (Psychiatry)
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070
COUNTY OF GREEN LAKE
Public Health or Welfare
571 COUNTY ROAD A
GREEN LAKE, WI 54941
Green Lake County (920) 294-4070

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 Holley Dornfeld's NPI number?

The NPI number for Holley Dornfeld is 1669072872. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Holley Dornfeld located?

Holley Dornfeld practices at 571 County Road A, Green Lake, WI 54941. The listed phone number is (920) 294-4070.

What is Holley Dornfeld's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Holley Dornfeld was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.