IndividualActive
Amy Taake, LPC, SAC
NPI 1194234922 · Mental Health Counselor · Menasha, WI
Provider details
- NPI number
- 1194234922
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC, SAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16225-131 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
1476 Kenwood Dr Ste 102
Menasha, WI 54952-1134
Phone: (920) 939-8868
Approximate (ZIP-level) locationGet directions
Mailing address
1476 Kenwood Dr Ste 102
Menasha, WI 54952-1134
Registry dates
- Enumerated
- 2017-09-25
- Last updated
- 2026-05-16
- Certified
- 2026-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.