Healthcare Provider Details

I. General information

NPI: 1306283403
Provider Name (Legal Business Name): DARLENE M MEINERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2013
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 MADISON AVE
FORT ATKINSON WI
53538-1444
US

IV. Provider business mailing address

511 MADISON AVE
FORT ATKINSON WI
53538-1444
US

V. Phone/Fax

Practice location:
  • Phone: 920-541-3078
  • Fax:
Mailing address:
  • Phone: 608-215-7767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5843-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: