QUALITY ADDICTION MANAGEMENT INC
NPI 1629282470
Clinic/Center - Methadone in Green Bay, WI

NPI Status: Active since May 10, 2007

Contact Information

2357 W MASON ST
GREEN BAY, WI
ZIP 54303
Phone: (920) 337-6740
Fax: (920) 337-6741

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Methadone
  • Accepts Insurance
  • CLIA Number: 52D1054864
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 06-01-2026

About QUALITY ADDICTION MANAGEMENT INC

This page provides the complete NPI Profile along with additional information for Quality Addiction Management Inc, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1629282470 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 1748 (WI). The provider is registered as an organization and their NPI record was last updated August 2025. The authorized official of this NPI record is Brian Phillip Farley (Vp & Secretary)

NPI
1629282470
Provider Name
QUALITY ADDICTION MANAGEMENT INC
Entity Type
Organization
Location Address
2357 W MASON ST GREEN BAY, WI 54303
Location Phone
(920) 337-6740
Location Fax
(920) 337-6741
Mailing Address
6183 PASEO DEL NORTE STE 200 CARLSBAD, CA 92011
Mailing Phone
(615) 861-6000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-10-2007
Last Update Date
08-11-2025
Code Navigator

Location Map

Secondary Locations

  • 2422 N Grandview Blvd
    Waukesha, WI 53188
    (262) 549-6600
  • 1610 Miller Park Way
    West Milwaukee, WI 53214
    (414) 672-3801
  • 2842 S Business Dr
    Sheboygan, WI 53081
    (920) 458-6527
  • 5735 Durand Ave
    Mount Pleasant, WI 53406
    (262) 598-1392
  • 151 E Badger Rd Ste A
    Fitchburg, WI 53713
    (608) 250-2512
  • 2240 Prairie Ave Ste 10
    Beloit, WI 53511
    (608) 361-7200
  • 1312 Barberry Dr Ste 110
    Janesville, WI 53545
    (608) 758-1944

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
1748
License State
WI
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

1748 (WI)
2261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
  • CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
  • CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
  • CGHC Bronze Standard $7500 - Envision Network - EPO
  • CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
  • CGHC Catastrophic $9200 - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network - EPO
  • CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
  • CGHC Gold $3000 - Envision Network - EPO
  • Dean Bronze $0 Copay PCP Visits - HMO
  • Dean Bronze Share - HMO
  • Dean Catastrophic - HMO
  • Dean Expanded Bronze Standard - HMO
  • Dean Focus Bronze $0 Copay PCP Visits - EPO
  • Dean Focus Bronze Share - EPO
  • Dean Focus Catastrophic - EPO
  • Dean Focus Expanded Bronze Standard - EPO
  • Dean Focus Gold HSA - EPO
  • Dean Focus Gold Share - EPO
  • Engage by Medica Bronze HSA - EPO
  • Engage by Medica Bronze Share - EPO
  • Engage by Medica Expanded Bronze Standard - EPO
  • Engage by Medica Gold $0 Copay PCP Visits - EPO
  • Engage by Medica Gold Share - EPO
  • Engage by Medica Gold Standard - EPO
  • Engage by Medica Silver $0 Copay PCP Visits - EPO
  • Engage by Medica Silver Share - EPO
  • Engage by Medica Silver Standard - EPO
  • Essentia Choice Care with Medica Bronze HSA - EPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • Enrich $1,500 - 25% - HMO
  • Enrich $3,500 - 30% - HMO
  • Enrich $4,100 HDHP - HMO
  • Enrich $5,000 - 40% - HMO
  • Enrich $6,200 HDHP - HMO
  • Enrich $7,500 - HMO
  • Enrich $9,200 - HMO
  • Enrich Protection - HMO
  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN PHILLIP FARLEY

Authorized Official Title
VP & SECRETARY
Authorized Official Phone
(615) 716-9335

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a

Intake activities involve a comprehensive medical examination and initial assessment. This is carried out by a program physician, a primary care doctor, or a qualified healthcare professional under their oversight. The process helps to understand your current health status and identify any potential health issues.

This service was performed 17 times for 16 patients

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 6,598 times for 186 patients

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for

Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.

This service was performed 207 times for 110 patients

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

This service was performed 385 times for 28 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D1054864
Facility Type
Mobile Laboratory
Certificate Effective Date
June 02, 2024
Certificate Expiration Date
June 01, 2026
Laboratory Director
DR. JASON SO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quality Addiction Management Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for QUALITY ADDICTION MANAGEMENT INC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629282470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649484414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 8 + 4 + 4 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1629282470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356839724 MARANDA MILLER
Individual
Registered Nurse (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1184112567 LINDSEY DAVIS SAC-IT 18487-130
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1871075630MISS CARRIE DOMINICZAK SACIT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1174869283 DAVID WALTER KINGSFIELD CSAC CSIT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1669940730 CARRIE QUINNELL LPN
Individual
Licensed Practical Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1588133698 CORTLEE PLASS CSAC
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1861957714 JILLIAN SCOTT SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1417512435 STACEY VAN SCHYNDEL LPN
Individual
Licensed Practical Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1285274688 JADEN HENDZEL SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1295361566 TYLER WEBB SACIT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1902423528 JENNA PRICE RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1366069973 NICOLE LUCHTERHAND SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1255926077 DEANICE HOFFMAN SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 265-5704
1841885514 BETH A COLLINS RN
Individual
Registered Nurse (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 265-5704
1306424247 JILL OLSON SAC IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1558936187 MARY L YANG LPN
Individual
Licensed Practical Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1851961890 LORI J NIEVES LPN
Individual
Licensed Practical Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1679146807 JENNIFER KEOMANYVONG
Individual
Registered Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1154994382 JAMIE THEISEN SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740
1871266114 DONIESHA LESLIE CAMERON LPN
Individual
Licensed Practical Nurse2357 W MASON ST
GREEN BAY, WI 54303
(920) 337-6740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629282470, enumerated in the NPI registry as an "organization" on May 10, 2007

The provider is located at 2357 W Mason St Green Bay, Wi 54303 and the phone number is (920) 337-6740

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Dean Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a, Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm, Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for and Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure.

The provider's CLIA number is 52D1054864 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 10, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.