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

Individual provider Professional Counselor · NPI 1457999104

Jeanine Rae Rysewyk, MACLPC is a Mental Health Counselor in Appleton, Wisconsin. Qualified in 2008, 18 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
18
Licensed in
WI
In the registry since
2019
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Practice location Address checks out

2500 E Capitol Dr
Appleton, WI 54911-8735
Phone: (920) 720-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 913 E Frances St, Appleton, WI 54911-3132 — (920) 830-4052

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7616-125 (WI)

Record details

NPI number1457999104
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACLPC
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Appleton