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KELLY THOMACK COUNSELING
NPI 1669103057
Counselor - Mental Health in Appleton, WI

Active since June 17, 2022
5601 W GRANDE MARKET DR STE M, APPLETON, WI 54913(920) 215-1105(937) 606-3077 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Thomack Counseling NPPES

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

KELLY THOMACK COUNSELING (NPI 1669103057) is a healthcare organization registered as a mental health in Appleton, Wisconsin and active in the NPI registry since June 2022. The organization lists Kelly Thomack, Owner, as its authorized official.

NPPES Registry Identity

NPI1669103057
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKELLY THOMACK COUNSELING
Location Address5601 W GRANDE MARKET DR STE MAppleton, WI 54913-8506
Mailing Address5601 W Grande Market Dr Ste MAppleton, WI 54913-8506 · (920) 418-1150 · Fax (937) 606-3077
Phone(920) 215-1105
Fax(937) 606-3077
Organization SubpartNo
Authorized OfficialKelly ThomackOwner · (920) 418-1150
Enumeration DateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1669103057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5601 W GRANDE MARKET DR STE M, Appleton, WI 54913
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kelly Thomack Counseling's NPI number?

The NPI number for Kelly Thomack Counseling is 1669103057. It was assigned to this organization in the NPPES registry on June 17, 2022.

Where is Kelly Thomack Counseling located?

Kelly Thomack Counseling is located at 5601 W Grande Market Dr Ste M, Appleton, WI 54913. The listed phone number is (920) 215-1105.

What is Kelly Thomack Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Thomack Counseling was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.