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MRS. PAMELA JANE NIKODEM LPC, SAC-T
NPI 1952069866
Counselor - Professional in Green Bay, WI

Active since December 08, 2021
812 S FISK ST STE 103104, GREEN BAY, WI 54304(920) 404-4638 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2024, Dec 8, 2021 (2 updates tracked since 2021).

About Mrs. Pamela Jane Nikodem Lpc, Sac-t NPPES

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

MRS. PAMELA JANE NIKODEM LPC, SAC-T (NPI 1952069866) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (11238-125) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1952069866
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. PAMELA JANE NIKODEMCredential: LPC, SAC-T
Location Address812 S FISK ST STE 103104Green Bay, WI 54304-2269
Mailing Address812 S Fisk St Ste 103104Green Bay, WI 54304-2269 · (920) 404-4638
Phone(920) 404-4638
Sole ProprietorYes
Enumeration DateDecember 8, 2021
Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1952069866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 11238-125✔ Licensed in WI · 5078-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19515-130 (WI)
812 S FISK ST STE 103104, Green Bay, WI 54304
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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 Pamela Nikodem's NPI number?

The NPI number for Pamela Nikodem is 1952069866. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Pamela Nikodem located?

Pamela Nikodem practices at 812 S Fisk St Ste 103104, Green Bay, WI 54304. The listed phone number is (920) 404-4638.

What is Pamela Nikodem's specialty?

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

When was this NPI record last updated?

The NPPES record for Pamela Nikodem was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.