Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ccp Clinic, LLC

Organization Professional Counselor · NPI 1396431714

Ccp Clinic, LLC is a Professional Counselor in De Pere, Wisconsin. Works from 4 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3301 Packerland Dr Ste B
De Pere, WI 54115-9533
Phone: (920) 234-9240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 424 E Longview Dr, Appleton, WI 54911-2167 — (920) 234-9240
  • 3301 N Ballard Rd Ste C, Appleton, WI 54911-9002 — (920) 234-9240
  • 9000 W Chester St Ste 100, Milwaukee, WI 53214-1372 — (920) 234-9240

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1396431714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Geitner — Co-Owner · (651) 491-1346
NPI enumeratedApril 18, 2023
Last updated in NPPESApril 3, 2025
Certification dateMarch 29, 2025
Mailing address3301 Packerland Dr Ste B, De Pere, WI 54115-9533

Other providers in De Pere