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JEROME MUTCHIE SAC
NPI 1831441039
Counselor - Addiction (Substance Use Disorder) in Appleton, WI

Active since October 11, 2012
1000 N LYNNDALE DR, C, APPLETON, WI 54914(920) 735-9010(920) 735-9050 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerome Mutchie Sac NPPES

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

JEROME MUTCHIE SAC (NPI 1831441039) is an individual addiction (substance use disorder) provider in Appleton, Wisconsin, licensed in Wisconsin (16720-130) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1831441039
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEROME MUTCHIECredential: SAC
Location Address1000 N LYNNDALE DR, CAppleton, WI 54914-3057
Mailing Address1000 N Lynndale Dr, CAppleton, WI 54914-3057 · (920) 735-9010 · Fax (920) 735-9050
Phone(920) 735-9010
Fax(920) 735-9050
Sole ProprietorNo
Enumeration DateOctober 11, 2012
Last NPPES UpdateNovember 25, 2014
✔ NPI 1831441039 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 · 16720-130
1000 N LYNNDALE DR, Appleton, WI 54914
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Other Identifiers 1

Other15933-131WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 6

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

OPTIONS TREATMENT PROGRAMS, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1000 N LYNNDALE DR, SUITE C
APPLETON, WI 54914
Outagamie County (920) 735-9010
JACKIE MAECHTLE SACIT
Counselor (Addiction (Substance Use Disorder))
1000 N LYNNDALE DR, SUITE C
APPLETON, WI 54914
Outagamie County (920) 735-9010
TERESA GROSS LPC, SACIT
Counselor (Mental Health)
1000 N LYNNDALE DR, SUITE C
APPLETON, WI 54914
Outagamie County (920) 735-9010
KAITLYN KROHN LPCIT, SACIT
Counselor (Mental Health)
1000 N LYNNDALE DR, C
APPLETON, WI 54914
Outagamie County (920) 735-9010
BRANDON BOE SACIT
Counselor (Addiction (Substance Use Disorder))
1000 N LYNNDALE DR, SUITE C
APPLETON, WI 54914
Outagamie County (920) 735-9010
MS. HEATHER LYNN MUSHRUSH LPCIT, SAC-IT
Counselor (Mental Health)
1000 N LYNNDALE DR, SUITE C
APPLETON, WI 54914
Outagamie County (920) 735-9010

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 Jerome Mutchie's NPI number?

The NPI number for Jerome Mutchie is 1831441039. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Jerome Mutchie located?

Jerome Mutchie practices at 1000 N Lynndale Dr C, Appleton, WI 54914. The listed phone number is (920) 735-9010.

What is Jerome Mutchie's specialty?

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

What insurance does Jerome Mutchie accept?

Health plans from Anthem Blue Cross and Blue Shield list Jerome Mutchie 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 Jerome Mutchie was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.