Jenna R Mobile · Addiction (Substance Use Disorder) Counselor

3150 Gershwin Dr, Green Bay, WI 54311-4328

Overview

Jenna R Mobile is a Addiction (Substance Use Disorder) Counselor practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1629928452, which was assigned on January 31, 2026, and the registration record was last updated on January 31, 2026. The practitioner's main practice location is at 3150 Gershwin Dr, Green Bay, WI 54311-4328; the contact telephone number is 9203914700, and the fax number is 9203914731. The primary taxonomy of Jenna R Mobile is Addiction (Substance Use Disorder) Counselor (101YA0400X), with specialization in Addiction (Substance Use Disorder). Jenna R Mobile is licensed to practice in the state of Wisconsin (#17287).

Provider Information

NPI 1629928452
Entity Type Individual
Provider Name JENNA R MOBILE
Gender Female
Credential CSAC
Practice Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Practice Telephone 9203914700
Practice Fax Number 9203914731
Mailing Address 3150 Gershwin Dr
Green Bay
WI 54311-4328
Mailing Telephone 9203914700
Mailing Fax Number 9203914731
Certification Date 2026-01-31
Enumeration Date 2026-01-31
Last Update Date 2026-01-31
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y101YA0400XCounselorAddiction (Substance Use Disorder)17287WI

Taxonomy Information

Primary Taxonomy

Code 101YA0400X
Taxonomy Addiction (Substance Use Disorder) Counselor
Classification Counselor
Specialization Addiction (Substance Use Disorder)
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Compass Mental Health & Wellness LLC 4672 Maverick Ln Ste 1a, Lakeside, AZ 85929-5434Addiction (Substance Use Disorder) Counselor2026-04-10
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Jasmine Taylor 1044 W Bristol Rd, Flint, MI 48507-5516Addiction (Substance Use Disorder) Counselor2026-04-10
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Aubrey Steverson 1485 Market St, Springfield, OR 97477-3337Addiction (Substance Use Disorder) Counselor2026-04-10
Eunice's Bridge To Better Living, LLC 1051 N Milton Ave, Baltimore, MD 21205-1318Addiction (Substance Use Disorder) Counselor2026-04-10
Collin Caputo 41315 N Ridge Rd, Elyria, OH 44035-1242Addiction (Substance Use Disorder) Counselor2026-04-10
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Gary Osborne 704 Hewins St, Sheffield, MA 01257-9667Addiction (Substance Use Disorder) Counselor2026-04-11
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Location Information

Street Address 3150 GERSHWIN DR
City GREEN BAY
State WI
Zip Code 54311-4328
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Carrie Kraemer 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-10-04
County of Brown 3150 Gershwin Dr, Green Bay, WI 54311-4328Case Management Agency2025-07-15
Tyler G Luedke 3150 Gershwin Dr, Green Bay, WI 54311-4328Addiction (Substance Use Disorder) Counselor2013-04-08
Yogesh C Pareek 3150 Gershwin Dr, Green Bay, WI 54311-4328Psychiatry Physician2007-04-16
Ashley N Zellner 3150 Gershwin Dr, Green Bay, WI 54311-4328Mental Health Counselor2026-03-02
Helga Aquino Meyer · Helga Aquino Perpetuo 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2023-08-16
Paige Levi 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Social Worker2024-01-17
Jade County Community Tre Pirlott 3150 Gershwin Dr, Green Bay, WI 54311-4328Professional Counselor2025-12-20
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Psychologist2023-09-25
Jacinda J Hecker 3150 Gershwin Dr, Green Bay, WI 54311-4328Social Worker2024-07-09
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Tyla Wilder 1575 Allouez Ave, Green Bay, WI 54311-5625Clinical Psychologist2020-02-14
Kayley Nelson 1441 Bellevue St, Green Bay, WI 54311-5638Chiropractor2025-11-12
Robert Capello 2434 Sycamore Dr, Green Bay, WI 54311-5482Physician Assistant2006-09-19
Eric J Tarsi 2223 Lime Kiln Rd, Green Bay, WI 54311Physical Therapist2005-12-07
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
Yvonne Marie Benson 2356 Manitowoc Rd, Green Bay, WI 54311-5322Registered Nurse2006-11-06
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02
Michelle Valenzuela 1575 Allouez Ave, Green Bay, WI 54311-5625Cognitive & Behavioral Psychologist2017-11-21
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.