Northeast Wisconsin Wellness Associates, LLC
NPI 1699530683 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kaukauna, WI
Northeast Wisconsin Wellness Associates, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Kaukauna, WI (NPI 1699530683).
Provider details
- NPI number
- 1699530683
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Diane Moga Roach, Owner(920) 766-5040
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2830 Ramada Way Lowr LevelGreen Bay, WI 54304-5700Phone: (920) 497-6200Fax: (920) 497-3135
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Frequently asked questions
- What is Northeast Wisconsin Wellness Associates, LLC's NPI number?
- Northeast Wisconsin Wellness Associates, LLC's National Provider Identifier (NPI) is 1699530683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Wisconsin Wellness Associates, LLC?
- Northeast Wisconsin Wellness Associates, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Northeast Wisconsin Wellness Associates, LLC located?
- Northeast Wisconsin Wellness Associates, LLC's practice location on file with NPPES is 1941 Lehrer Ln, Kaukauna, WI 54130-7704.
- What is Northeast Wisconsin Wellness Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Wisconsin Wellness Associates, LLC is (920) 766-5040.
- Who is the authorized official for Northeast Wisconsin Wellness Associates, LLC?
- The authorized official listed on Northeast Wisconsin Wellness Associates, LLC's NPPES record is Diane Moga Roach, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Wisconsin Wellness Associates, LLC's NPI active?
- Yes — Northeast Wisconsin Wellness Associates, LLC's NPI (1699530683) is active in the NPPES registry as of the last update on 2024-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.