LOIS BOHANNON (NPI# 1063993723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063993723 |
| Entity Type | Individual |
| Full Name | LOIS BOHANNON |
| Credential | SAC-IT |
| Practice Address |
1610 Miller Park Way West Milwaukee WI 53214-3604 |
| Practice Telephone | 4146723801 |
| Mailing Telephone | 4146723801 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17211130 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1610 MILLER PARK WAY |
| City | WEST MILWAUKEE |
| State | WI |
| Zip Code | 53214-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065410 | Karmen W Seltz | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2005-12-23 |
| 1861091894 | Sarah L Coogan | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-10-21 |
| 1083211254 | Kristin Roguszka | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-10-01 |
| 1366068223 | Charise Carson | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-06-17 |
| 1750900973 | Alter Faye Hughes | Registered Nurse | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-04-09 |
| 1336775451 | Sandra Graham | Registered Nurse | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-20 |
| 1215563028 | Aaron Foss | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-13 |
| 1043844772 | Debra Barkley | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-03 |
| 1851921753 | Rae Ann Stewart | Registered Nurse | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-01-20 |
| 1053962399 | Rachael Knudsen | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2019-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1861091894 | Sarah L Coogan | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-10-21 |
| 1366068223 | Charise Carson | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-06-17 |
| 1215563028 | Aaron Foss | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-13 |
| 1043844772 | Debra Barkley | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2020-03-03 |
| 1053962399 | Rachael Knudsen | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2019-09-27 |
| 1801453048 | Marvin A Valdez | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2019-05-23 |
| 1639647803 | Patang Yang | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2018-11-06 |
| 1225519994 | Melissa Vermillion | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2018-08-22 |
| 1679051734 | Dawn Marie Suchorski | Counselor | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2018-08-01 |
| Find all providers in WEST MILWAUKEE | ||||
| City | WEST MILWAUKEE |
| Zip Code | 53214 |
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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.