DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICHOL WIENKES

MEDICARE: NICHOL WIENKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor16805-130WI
2101YP2500XProfessional Counselor5942-125WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639545023
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOL WIENKES
Provider Business Mailing Address
First Line : 571 COUNTY ROAD A
Second Line :
City : GREEN LAKE
State : WI
Zip : 54941-8630
Country : US
Telephone Number : 920-294-4070
Fax Number : 920-294-4139
Provider Business Practice Location Address
First Line : 571 COUNTY ROAD A
Second Line :
City : GREEN LAKE
State : WI
Zip : 54941-8630
Country : US
Telephone Number : 920-294-4070
Fax Number : 920-294-4139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 03/27/2023

Similar Medicare Providers

1558301580 — SHIRLEY J. DAWSON M.D.
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139
1811105851 — LANA KAY HILBERT LPC
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139
1841599859 — GRETCHEN M MALKOWSKY CAPSW
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139
1104125020 — AMY M HIGGINBOTHAM MS
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139
1174976203 — TRIXIE MURPHY LCSW, SAC-IT
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139
1144770959 — JESSICA A. BOWMAN LCSW
Practice Location Address:
571 COUNTY ROAD A
GREEN LAKE, WI
54941-8630
Practice Phone: 920-294-4070
Practice Fax: 920-294-4139

Directions to “ NICHOL WIENKES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.