Provider Demographics
NPI:1992242606
Name:RIMPLE, CHARMAINE (LPC, NCC, CCMHC)
Entity type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:
Last Name:RIMPLE
Suffix:
Gender:F
Credentials:LPC, NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RURAL ROUTE BOX 89
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54230
Mailing Address - Country:US
Mailing Address - Phone:920-754-4734
Mailing Address - Fax:
Practice Address - Street 1:526 SOUTH MONROE AVENUE
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301
Practice Address - Country:US
Practice Address - Phone:920-754-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-20
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7413-125101YP2500X
WI7413101YP2500X
CERTIFIED101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI7413-125OtherWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI7413-125OtherWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES