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KELLY THOMACK
NPI 1750796488
Counselor - Professional in Appleton, WI

Active since June 20, 2014
5471 W WATERFORD LN, APPLETON, WI 54913(920) 731-7445(920) 731-7490 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, May 1, 2019 (2 updates tracked since 2019).

About Kelly Thomack NPPES

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

KELLY THOMACK (NPI 1750796488) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (5455-125) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1750796488
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY THOMACK
Location Address5471 W WATERFORD LNAppleton, WI 54913-8510
Mailing Address1835 E Edgewood Dr Ste 105-540Appleton, WI 54913-9407 · (920) 731-7445 · Fax (920) 882-2946
Phone(920) 731-7445
Fax(920) 731-7490
Sole ProprietorNo
Enumeration DateJune 20, 2014
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1750796488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5455-125
5471 W WATERFORD LN, Appleton, WI 54913
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Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

VICKI LYNN AHO
Registered Nurse (Addiction (Substance Use Disorder))
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
MARIA E CRIPE APNP
Nurse Practitioner (Family)
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
KAREN W BEUTLER MD
Family Medicine
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
KRISTIN KNOTT
Radiology (Body Imaging)
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
MACKENZIE BROEREN APNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
PARTNERSHIP COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
IRIS N TORRES MD
Family Medicine
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
JOANNE M STEPHANY NP
Nurse Practitioner
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445

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's NPI number?

The NPI number for Kelly Thomack is 1750796488. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Kelly Thomack located?

Kelly Thomack practices at 5471 W Waterford Ln, Appleton, WI 54913. The listed phone number is (920) 731-7445.

What is Kelly Thomack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kelly Thomack accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, CareSource (Common Ground Healthcare), HealthPartners and Medica and 7 other insurers list Kelly Thomack 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 Kelly Thomack was last updated on July 15, 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.