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

Grace Nye

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639920515

Grace Nye is a Mental Health Counselor in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Advance Clinical Services, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2024
Specialties on file
3

Practice location Address checks out

6121 Green Bay Rd Ste 200
Kenosha, WI 53142-2931
Phone: (262) 864-1141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11993-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19781-130 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5404-226 (WI)

Record details

NPI number1639920515
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address6121 Green Bay Rd Ste 200, Kenosha, WI 53142-2931

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advance Clinical Services — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha