KENNETH R NINHAM MSE
NPI 1992795223
Counselor - Addiction (Substance Use Disorder) in Lac Du Flambeau, WI

Q: What is Kenneth Ninham's NPI number?

The NPI number for Kenneth Ninham is 1992795223. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Q: What is Kenneth Ninham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Ninham was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 27, 2005

129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538(715) 588-3371(715) 588-2031 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kenneth R Ninham Mse NPPES

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

KENNETH R NINHAM MSE (NPI 1992795223) is an individual addiction (substance use disorder) provider in Lac Du Flambeau, Wisconsin, licensed in Wisconsin (1060-132) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1992795223

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENNETH R NINHAMCredential: MSE

Location Address129 OLD ABE RDLac Du Flambeau, WI 54538-9386

Mailing Address129 Old Abe RdLac Du Flambeau, WI 54538-9386 · (715) 588-3371 · Fax (715) 588-2031

Phone(715) 588-3371

Fax(715) 588-2031

Sole ProprietorNo

Enumeration DateOctober 27, 2005

Last NPPES UpdateJune 27, 2016

✔ NPI 1992795223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 1060-132

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2624-120 (WI)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 11915-134 (WI)

129 OLD ABE RD, Lac Du Flambeau, WI 54538

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Other Identifiers 1

Medicaid39231600WI

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.

LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS

Clinic/Center (Federally Qualified Health Center (FQHC))