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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EILIS PETZKE
NPI 1740165794
Counselor - Mental Health in Green Bay, WI

Active since August 08, 2025
123 N OAKLAND AVE, GREEN BAY, WI 54303(920) 770-4088(651) 705-0026 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Aug 8, 2025 (2 updates tracked since 2025).

About Eilis Petzke NPPES

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

EILIS PETZKE (NPI 1740165794) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (9085226) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1740165794
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEILIS PETZKE
Location Address123 N OAKLAND AVEGreen Bay, WI 54303-2831
Mailing Address2240 Early StGreen Bay, WI 54304-4843 · (262) 993-3835 · Fax (651) 705-0026
Phone(920) 770-4088
Fax(651) 705-0026
Sole ProprietorYes
Enumeration DateAugust 8, 2025
Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1740165794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 9085226
123 N OAKLAND AVE, Green Bay, WI 54303
Open in Google Maps ↗

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.

LOUISE CLARA DAUL MS, LPC
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
KABLIA YANG
Counselor (Mental Health)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
VANESSA BLANCHETTE LCSW
Social Worker (Clinical)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
POWER FOR CHANGE, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
LEXANA RUTZ LPC-IT
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
SHANNON LEE WYMAN KENEVAN
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
RACHELE WATKINS APSW
Social Worker
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088
ALISHA PETROUSKE
Counselor (Professional)
123 N OAKLAND AVE
GREEN BAY, WI 54303
Brown County (920) 770-4088

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 Eilis Petzke's NPI number?

The NPI number for Eilis Petzke is 1740165794. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Eilis Petzke located?

Eilis Petzke practices at 123 N Oakland Ave, Green Bay, WI 54303. The listed phone number is (920) 770-4088.

What is Eilis Petzke'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 Eilis Petzke was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 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.