DEBRA A KOLTIS (NPI# 1063584225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063584225 |
| Entity Type | Individual |
| Full Name | DEBRA A KOLTIS |
| Credential | MS,LPC,SAC,NCC |
| Practice Address |
W10274 Eddy Rd Thorp WI 54771-7626 |
| Practice Telephone | 7154976478 |
| Mailing Telephone | 7154976478 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15167 | WI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3438-125 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3438-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 409-78700 | 05 | |
| WI | SECURITY HEALTH PLAN | 93156 | 01 |
| Street Address |
W10274 EDDY RD |
| City | THORP |
| State | WI |
| Zip Code | 54771-7626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902851108 | Thorp Area Ambulance District | Ambulance | 101 S Wilson, Thorp, WI 54771 | 2006-05-24 |
| 1649332230 | Bruce Glen Campbell | Chiropractor | 102 E Main St, Thorp, WI 54771 | 2006-12-14 |
| 1649239179 | William Robert Sprague | Optometrist | 102 E Stanley St, Thorp, WI 54771 | 2006-03-22 |
| 1073815627 | Laurie K Thain | Registered Nurse | N15065 Dickerson Ave, Thorp, WI 54771-7310 | 2010-12-01 |
| 1790045904 | Mennonite Dental Clinic | Clinic/Center | W8180 County Road X, Thorp, WI 54771-7512 | 2012-05-22 |
| 1679552988 | Thomas E Looze | Internal Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2006-01-13 |
| 1437419801 | Johnathon David Justice | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2012-05-20 |
| 1750543161 | Vinay Sharma | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2008-06-26 |
| 1750580213 | Pundeep Kahlon | Family Medicine | 704 S Clark St, Thorp, WI 54771-7624 | 2007-07-15 |
| 1770669392 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 704 S Clark St, Thorp, WI 54771-7624 | 2006-10-27 |
| Find all providers in zip 54771 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.