JACQUELINE VENESIA MCRAE ICS, SAC-IT
NPI 1992290381
Counselor - Addiction (Substance Use Disorder) in Mount Pleasant, WI

Active since June 27, 2018
4810 NORTHWESTERN AVE, MOUNT PLEASANT, WI 53406(262) 637-9984(262) 637-9995 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Venesia Mcrae Ics, Sac-it NPPES

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

JACQUELINE VENESIA MCRAE ICS, SAC-IT (NPI 1992290381) is an individual addiction (substance use disorder) provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (18414-130) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1992290381
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE VENESIA MCRAECredential: ICS, SAC-IT
Location Address4810 NORTHWESTERN AVEMount Pleasant, WI 53406-1504
Mailing Address4810 Northwestern AveMount Pleasant, WI 53406-1504 · (262) 637-9984 · Fax (262) 637-9995
Fax(262) 637-9995
Sole ProprietorYes
Enumeration DateJune 27, 2018
NPI 1992290381 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 · 18414-130
4810 NORTHWESTERN AVE, Mount Pleasant, WI 53406

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Counselor (Addiction (Substance Use Disorder))
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Social Worker (Clinical)
4810 NORTHWESTERN AVE
RACINE, WI 53406
Counselor (Professional)
4810 NORTHWESTERN AVE
MT PLEASANT, WI 53406
Nurse Practitioner (Psychiatric/Mental Health)
4810 NORTHWESTERN AVE
MOUNT PLEASANT, WI 53406
Clinic/Center (Mental Health (Including Community Mental Health Center))
4810 NORTHWESTERN AVE
RACINE, WI 53406

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 Jacqueline Mcrae's NPI number?

The NPI number for Jacqueline Mcrae is 1992290381. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Jacqueline Mcrae located?

Jacqueline Mcrae practices at 4810 Northwestern Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 637-9984.

What is Jacqueline Mcrae's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Mcrae was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.