AMY TAAKE LPC SAC NPI 1194234922

NPI Information

NPI: 1194234922
Provider Name: AMY TAAKE, LPC, SAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1011 N LYNNDALE DR STE 2D
APPLETON, WI
ZIP 54914
Phone: (920) 385-1420
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Amy Taake, LPC, SAC is a mental health counselor in Appleton, WI. Amy Taake, LPC, SAC NPI is 1194234922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 N LYNNDALE DR STE 2D
APPLETON, WI
ZIP 54914-091
Phone: (920) 385-1420

The enumeration date for this NPI number is 9/25/2017 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16225-131	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	3679-226	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	813042847	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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