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

Nicole Walch, MA, LPC-IT

Individual provider Mental Health Counselor · NPI 1821593153

Nicole Walch, MA, LPC-IT is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with Innovative Counseling Inc, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2018
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

1499 Sixth St
Green Bay, WI 54304-2252
Phone: (920) 497-6161
Fax: (920) 468-0476
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1821593153
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC-IT
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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 Innovative Counseling Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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