Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole Damrow , MSE, LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1215413646 Individual Practitioner Female Practitioner
Practice location in NPPES

100 W Lawrence St Ste 320
Appleton, WI 549115754

Call 9202413498 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 W Lawrence St Ste 320

Appleton, WI 549115754

Telephone 9202413498

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 7847-125
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WI 7847-125
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2026

Counselor (license number reported to NPPES: WI 7847-125)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2024

Counselor (license number reported to NPPES: WI 7847-125)

πŸ“
Updated Practice Location September 19, 2024

Registered at 100 W LAWRENCE ST STE 320, APPLETON, WI 549115754 (Tel: 9202413498)

πŸ“
Updated Business Mailing Address September 19, 2024

Registered at 100 W LAWRENCE ST STE 320, APPLETON, WI 549115754 (Tel: 9202413498)

πŸ‘€
Provider Name / Credentials Updated September 19, 2024

Recorded as NICOLE DAMROW, MSE, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2024

Counselor (license number reported to NPPES: WI 7847-125)

πŸ“
Updated Practice Location November 19, 2020

Registered at 2270 HOLMGREN WAY, GREEN BAY, WI 543044710 (Tel: 9205445294)

πŸ“
Updated Business Mailing Address November 19, 2020

Registered at 2270 HOLMGREN WAY, GREEN BAY, WI 543044710 (Tel: 9205445294)

πŸ‘€
Provider Name / Credentials Updated November 19, 2020

Recorded as NICOLE DAMROW, LPC, NCC

πŸ‘€
Provider Name / Credentials Updated February 25, 2019

Recorded as NICOLE DAMROW, LPC-IT

βœ…
NPI Profile Active July 18, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 18, 2018

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

πŸ“
Business Mailing Address (Initial Record) July 18, 2018

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 18, 2018

Recorded as NICOLE PHILLIPS, LPC-IT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2018

Counselor (license number reported to NPPES: WI 4001-226)

🟒
Initial NPI Registration & Enumeration July 18, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215413646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2018
Last Update: July 09, 2026
Sole Proprietor: Yes

Mailing Address

100 W Lawrence St Ste 320

Appleton, WI 549115754

Phone: 9202413498

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.