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KAYCIE VICKMAN SAC-IT
NPI 1992442875
Counselor - Addiction (Substance Use Disorder) in Green Bay, WI

Active since May 12, 2022
2357 W MASON ST, GREEN BAY, WI 54303(920) 337-6740 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaycie Vickman Sac-it NPPES

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

KAYCIE VICKMAN SAC-IT (NPI 1992442875) is an individual addiction (substance use disorder) provider in Green Bay, Wisconsin, licensed in Wisconsin (19695-130) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1992442875
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKAYCIE VICKMANCredential: SAC-IT
Location Address2357 W MASON STGreen Bay, WI 54303-4708
Mailing Address2357 W Mason StGreen Bay, WI 54303-4708 · (920) 337-6740
Phone(920) 337-6740
Sole ProprietorNo
Enumeration DateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1992442875 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 · 19695-130
2357 W MASON ST, Green Bay, WI 54303
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Other Identifiers 1

Medicaid42030700WI

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.

JENNIFER STRADER
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ROGER P SMITH
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
ALYSSA BALDWIN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
KELLY CHRISMAN
Licensed Practical Nurse
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
JAMIE THEISEN SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
AMY RETLICK SAC-IT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
DAVID WALTER KINGSFIELD CSAC CSIT
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740
LINDSEY DAVIS SAC-IT 18487-130
Counselor (Addiction (Substance Use Disorder))
2357 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 337-6740

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 Kaycie Vickman's NPI number?

The NPI number for Kaycie Vickman is 1992442875. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Kaycie Vickman located?

Kaycie Vickman practices at 2357 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 337-6740.

What is Kaycie Vickman'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 Kaycie Vickman was last updated on May 12, 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.