JACOB'S WELL COUNSELING CENTER INC NPI 1609558485

NPI Information

  • NPI: 1609558485
  • Provider Name: JACOB'S WELL COUNSELING CENTER INC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 3340 LINEVILLE RD
    GREEN BAY, WI
    ZIP 54313
  • Phone: (920) 562-6236

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NPI Details

JACOB'S WELL COUNSELING CENTER INC is a professional counselor in Green Bay, WI. JACOB'S WELL COUNSELING CENTER INC NPI is 1609558485. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3340 LINEVILLE RD
GREEN BAY, WI
ZIP 54313-237
Phone: (920) 562-6236

The provider's authorized official is Grace Ghost .
The authorized official title is Administrator and has the following contact phone number (920) 931-2531.

The enumeration date for this NPI number is 8/2/2023 and was last updated on 4/22/2025.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

NPI Synchronization or Removal

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