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NORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC
NPI 1699530683
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kaukauna, WI

Active since February 19, 2024
1941 LEHRER LN, KAUKAUNA, WI 54130(920) 766-5040(920) 497-3135 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Wisconsin Wellness Associates, Llc NPPES

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

NORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC (NPI 1699530683) is a healthcare organization registered as a mental health (including community mental health center) in Kaukauna, Wisconsin and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Green Bay and lists Diane Moga Roach, Owner, as its authorized official.

NPPES Registry Identity

NPI1699530683
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNORTHEAST WISCONSIN WELLNESS ASSOCIATES, LLC
Location Address1941 LEHRER LNKaukauna, WI 54130-7704
Mailing Address1941 Lehrer LnKaukauna, WI 54130-7704 · (920) 766-5040 · Fax (920) 497-3135
Phone(920) 766-5040
Fax(920) 497-3135
Organization SubpartNo
Authorized OfficialDiane Moga RoachOwner · (920) 766-5040
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1699530683 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
1941 LEHRER LN, Kaukauna, WI 54130
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Secondary Practice Location 1

Location 12830 Ramada Way Lowr LevelGreen Bay, WI 54304-5700 · Phone (920) 497-6200 · Fax (920) 497-3135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

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.

CHELSEA CARNEY
Counselor (Mental Health)
1941 LEHRER LN
KAUKAUNA, WI 54130
Outagamie County (920) 497-3135
SABRINA LIBBIN
Counselor (Mental Health)
1941 LEHRER LN
KAUKAUNA, WI 54130
Outagamie County (920) 872-7292
COURTNEY COVILL LPC-IT
Counselor (Professional)
1941 LEHRER LN
KAUKAUNA, WI 54130
Outagamie County (920) 872-7292
MOLLY MARIE BARRETT APSW
Social Worker
1941 LEHRER LN
KAUKAUNA, WI 54130
Outagamie County (920) 766-5040

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 Northeast Wisconsin Wellness Associates, LLC's NPI number?

The NPI number for Northeast Wisconsin Wellness Associates, LLC is 1699530683. It was assigned to this organization in the NPPES registry on February 19, 2024.

Where is Northeast Wisconsin Wellness Associates, LLC located?

Northeast Wisconsin Wellness Associates, LLC is located at 1941 Lehrer Ln, Kaukauna, WI 54130. The listed phone number is (920) 766-5040.

What is Northeast Wisconsin Wellness Associates, LLC'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.

What insurance does Northeast Wisconsin Wellness Associates, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Northeast Wisconsin Wellness Associates, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Wisconsin Wellness Associates, LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.