Nicole Shannon Thull, SAC-IT
Addiction (Substance Use Disorder) Counselor · Kewaskum, WI
Nicole Shannon Thull, SAC-IT is an addiction (substance use disorder) counselor with a practice address in Kewaskum, Wisconsin, and NPI 1669962825, issued on May 14, 2018. Check the license (Wisconsin 17291-130, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Nicole Shannon Thull
- Credential
- SAC-IT
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License number
- 17291-130 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1421 Fond DU Lac Ave, Kewaskum, WI 53040
- Phone
- (262) 626-4166
- Enumerated
- May 14, 2018
- Record last updated
- May 14, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (262) 626-8431
- Entity
- Type 1 · individual
Also registered at 1421 Fond DU Lac Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Britney O'Brien, SACITAddiction (Substance Use Disorder) Counselor1811780794
- Amber WebbAddiction (Substance Use Disorder) Counselor1104761113
Verify Nicole Shannon Thull in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 17291-130Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4 addiction (substance use disorder) counselor records list a practice address in Kewaskum
They are 4 of the 42 NPPES records with a practice address in Kewaskum, and 2,096 addiction (substance use disorder) counselor records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4 in Kewaskum → All 2,096 in Wisconsin → Every provider in Kewaskum →
Other addiction (substance use disorder) counselor records in Wisconsin
- Cathie Abel, CADCIIIWoodruff, WI1003906132
- Jennifer Abele, M.S.Eau Claire, WI1699921254
- Ismael Acevedo, CSACBrown Deer, WI1669654125
- Clare AchiaMadison, WI1730891730
- Breanna Adams, SAC-ITBeloit, WI1134747009
- Danielle Adams, SAC-ITMarinette, WI1376269340
- John Adams, SAC-ITMadison, WI1780428383
- Merritt Adams, CADCIIIRacine, WI1013175868
- Lisa Adams-Qualls, SAC, APSWMilwaukee, WI1912239930
- Gina Adamski, LADC, CSACSuperior, WI1770837882
Common questions
What is Nicole Shannon Thull, SAC-IT's NPI number?
Nicole Shannon Thull, SAC-IT's National Provider Identifier (NPI) is 1669962825, issued on May 14, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Shannon Thull, SAC-IT located?
The NPPES record lists a practice address at 1421 Fond DU Lac Ave, Kewaskum, WI, 53040. Phone: (262) 626-4166. Providers update this record themselves, so call before visiting.
How can I verify Nicole Shannon Thull, SAC-IT's license?
NPPES lists Wisconsin license number 17291-130, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.