| Healthy Connections, Llc | |
|
1000 W Wisconsin Ave Ste 1 Appleton WI 54914-3551 | |
| (920) 257-4601 | |
| (920) 257-4603 |
| Full Name | Healthy Connections, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 W Wisconsin Ave Ste 1, Appleton, Wisconsin |
| Authorized Official Name and Position | Jessica Schroeder (PSYCHOLOGIST) |
| Authorized Official Contact | 9202574601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Connections, Llc 1000 W Wisconsin Ave Ste 1 Appleton WI 54914-3551 Ph: (920) 257-4601 | Healthy Connections, Llc 1000 W Wisconsin Ave Ste 1 Appleton WI 54914-3551 Ph: (920) 257-4601 |
| NPI Number | 1699094912 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 04/14/2024 |
| Certification Date | 04/14/2024 |
| Medicare PECOS PAC ID | 5698957447 |
|---|---|
| Medicare Enrollment ID | O20110315000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699094912 | NPI | - | NPPES |
| 100009466 | Medicaid | WI | |
| WI2100 | Other | WI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 2911 (Wisconsin) | Primary |
| Provider Name | Jessica R Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316130404 PECOS PAC ID: 6204017809 Enrollment ID: I20110301000878 |
| Provider Name | Erin L Hietpas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124391081 PECOS PAC ID: 3577986835 Enrollment ID: I20200706002521 |
| Provider Name | Megan M Tech |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295220234 PECOS PAC ID: 1557701943 Enrollment ID: I20240502001254 |
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