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Active NPI 1467688648 Individual Practitioner Female Practitioner

Lisa A Hidde , LPC

Counselor - Professional • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Lisa Hidde, LPC is a certified Counselor - Professional practicing in Appleton, WI. With approximately 21 years of clinical experience since completing medical education in 2005, Lisa Hidde delivers high-quality medical care to the local community at 2505 E EVERGREEN DR STE C.

Lisa Hidde is affiliated with Ccp Clinic Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2505 E Evergreen Dr Ste C

Appleton, WI 549138881

Telephone 9207507000
Fax 9203642451
Associated Practice Facility / Clinic
🏢 Catalpa Health Facility NPI 1386992451

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Appleton, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +7.9 yrs vs City Avg
City Avg: 13.1 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
194 Specialists

Practicing in Appleton, WI (4511 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hidde (21 Years) 21 Yrs
Appleton Specialty Average (13.1 Years) 13.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-12-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 3988-125

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Sherman Counseling
1235251349 (WI)

Hospital & Practice Group Affiliations

Ccp Clinic Llc

424 E Longview Dr, Appleton, WI 549112167

Phone: 9202349240

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Vercimak , LPC

Counselor - Professional

NPI 1003279753

Licensed Professional Counselor

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

Yer Thao

Counselor - Professional

NPI 1023702156
Scott Radtke , LPC

Counselor - Professional

NPI 1033106794

Licensed Professional Counselor

Stephanie Shirey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043672504
Lisa Engelhardt , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043686538

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 08, 2020

Registered at 2505 E EVERGREEN DR STE C, APPLETON, WI 549138881 (Tel: 9207507000)

📍
Updated Business Mailing Address December 08, 2020

Registered at 613 IDLEWILD ST, KAUKAUNA, WI 541301025 (Tel: 9204284443)

NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

📍
Updated Business Mailing Address December 11, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated December 11, 2017

Recorded as LISA HIDDE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Counselor (License #3988-125 in WI)

NPI Profile Active June 02, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2009

Registered at 1820 APPLETON RD, MENASHA, WI 549521110 (Tel: 9209962200)

📍
Updated Business Mailing Address June 02, 2009

Registered at 1820 APPLETON RD, MENASHA, WI 549521110 (Tel: 9209962200)

👤
Provider Name / Credentials Updated June 02, 2009

Recorded as LISA HIDDE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2009

Counselor (License #3988-125 in WI)

🟢
Initial NPI Registration & Enumeration June 02, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467688648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2009
Last Update: December 08, 2020
Sole Proprietor: No

Mailing Address

613 Idlewild St

Kaukauna, WI 541301025

Phone: 9204284443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.