OrganizationActive
Sacred Wandering / Sacred Path Practitioners
NPI 1780240614 · Mental Health Clinic/Center (Including Community Mental Health Center) · Mequon, WI
Provider details
- NPI number
- 1780240614
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Nelan, Owner/Provider(414) 433-9193
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
10134 N Port Washington Rd Ste G
Mequon, WI 53092-5700
Phone: (414) 433-9193
Fax: (414) 435-9611
Street-level locationGet directions
Mailing address
10134 N Port Washington Rd Ste G
Mequon, WI 53092-5700
Registry dates
- Enumerated
- 2019-05-16
- Last updated
- 2019-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.