WISCONSIN LUTHERAN CHILD & FAMILY SERVICE (NPI# 1043661036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043661036 |
Entity Type | Organization |
Organization Name | WISCONSIN LUTHERAN CHILD & FAMILY SERVICE |
Other Organization Name | CHRISTIAN FAMILY COUNSELING |
Practice Address |
5300 N Meade St Appleton WI 54913-8383 |
Mailing Address |
W175n11120 Stonewood Dr Attn Linda R Germantown WI 53022-6511 |
Practice Telephone | 8004381772 |
Practice Fax Number | 2622939737 |
Mailing Telephone | 8004381772 |
Mailing Fax Number | 2622939737 |
Enumeration Date | 2016-06-30 |
Last Update Date | 2016-06-30 |
Authorized Official Name | MARK KLUG (CEO) |
Authorized Official Telephone | 8886859522 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42171800 | 05 |
Other Name | Type Code |
---|---|
Christian Family Counseling | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
1891249991 | Wisconsin Lutheran Child & Family Service | Counselor | 304 W Capitol Dr, Milwaukee, WI 53212 | 2016-08-08 |
1215380746 | Wisconsin Lutheran Child & Family Service | Counselor | 3040 W Capitol Dr, Milwaukee, WI 53216-2618 | 2016-07-20 |
1821449810 | Wisconsin Lutheran Child & Family Service | Counselor | 2107 Tower Rd, Mosinee, WI 54455-8138 | 2016-06-30 |
1639520612 | Wisconsin Lutheran Child & Family Service | Counselor | 3399 Division Rd, Jackson, WI 53037-9707 | 2016-06-30 |
1134570112 | Wisconsin Lutheran Child & Family Service | Counselor | 2450 W Roosevelt Dr, Milwaukee, WI 53209-6659 | 2016-06-30 |
1295111417 | Wisconsin Lutheran Child & Family Service | Psychologist | 1200 Oakdale Ave, West St Paul, MN 55118-2601 | 2015-08-11 |
1407232150 | Wisconsin Lutheran Child & Family Service | Marriage & Family Therapist | 2229 W Greenfield Ave, Milwaukee, WI 53204-1910 | 2015-08-05 |
1316323066 | Wisconsin Lutheran Child & Family Service | Counselor | 3215 N Dr Martin Luther King Dr, Milwaukee, WI 53212-1926 | 2015-08-05 |
1881021277 | Wisconsin Lutheran Child & Family Service | Counselor | 2215 N Palmer St, Milwaukee, WI 53212-3242 | 2013-10-01 |
Street Address |
5300 N MEADE ST |
City | APPLETON |
State | WI |
Zip Code | 54913-8383 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
Find all providers in zip 54913 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083236178 | Katherine Kirchner | Counselor | 1636 W Homestead Dr, Appleton, WI 54914-2026 | 2020-05-11 |
1679114136 | Trever Jaymes Allcock | Counselor | 711 N Lynndale Dr, Appleton, WI 54914-3078 | 2019-10-04 |
1780232231 | Mark Andrew Wilkerson | Counselor | 446 N Westhill Blvd Ste 6, Appleton, WI 54914-6533 | 2019-08-28 |
1013563030 | Nhia Moua | Counselor | 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 | 2019-08-15 |
1457819419 | Charisma L Deyo-sonntag | Counselor | 1047 N Lynndale Dr Ste 2b, Appleton, WI 54914-3059 | 2019-03-08 |
1639643802 | Julie Ann Prudom | Counselor | 524 W Wayfarer Ct, Appleton, WI 54913-6865 | 2019-01-21 |
1588130827 | Joann Marie Miller | Counselor | 5601 W Grande Market Dr Ste A1, Appleton, WI 54913-8506 | 2018-10-14 |
1003301870 | Walk By Faith Counseling, LLC | Counselor | W6268 Spencer Rd, Appleton, WI 54914-7528 | 2018-06-25 |
1699269241 | Deanna Sieg | Counselor | 1920 N Casaloma Dr, Appleton, WI 54913-7982 | 2018-06-18 |
1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
Find all providers in APPLETON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.