MS. LISA MARIE BLAKEN-MILLER (NPI# 1073724233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073724233 |
Entity Type | Individual |
Full Name | MS. LISA MARIE BLAKEN-MILLER |
Credential | LPC |
Practice Address |
N9710 State Hwy 108 Melrose WI 54642-8258 |
Practice Telephone | 6083861086 |
Practice Fax Number | 6084882161 |
Mailing Telephone | 6083861086 |
Mailing Fax Number | 6084882161 |
Enumeration Date | 2007-05-26 |
Last Update Date | 2014-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
3289125 | WI | Behavioral Health & Social Service Providers |
Street Address |
N9710 STATE HWY 108 |
City | MELROSE |
State | WI |
Zip Code | 54642-8258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205267135 | Mark Chrisinger | Hearing Instrument Specialist | 106 Mill Street, Melrose, WI 54642 | 2013-12-03 |
1518112739 | Sara Jo Steien | Dentist | 601 3rd St, 601 Third Street, Melrose, WI 54642-7240 | 2008-12-02 |
1255586012 | Melrose-mindoro Area Schools | Local Education Agency (LEA) | N181 State Road 108, Melrose, WI 54642-8280 | 2008-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747435 | Jackline Alston | Counselor | 50 Lebanon St, Melrose, MA 02176-6311 | 2020-10-12 |
1235736489 | Jillian M Boyle | Counselor | 500 Main St Apt 5, Melrose, MA 02176-3828 | 2020-10-01 |
1639785462 | Hair Loss Center of Boston LLC | Case Management | 123 Ashland St # 2, Melrose, MA 02176-1235 | 2020-09-17 |
1982219002 | Zanessa D. Kastler | Social Worker | 1462 Cran, Melrose, NM 88124 | 2020-09-15 |
1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
1740807528 | Centi Psychological Services Pllc | Psychologist | 35 Renwick Rd, Melrose, MA 02176-1218 | 2020-06-29 |
1316562341 | Jonathan Reza Alihosseini | Dentist | 820 Lynn Fells Pkwy, Melrose, MA 02176-2506 | 2020-06-16 |
1376179366 | Jessica W Cheung | Physical Therapist | 585 Lebanon St Ste 401, Melrose, MA 02176-3225 | 2020-03-21 |
1912531708 | Christine Mccarthy Clark | Dietitian, Registered | 1 W Foster St Ste 3, Melrose, MA 02176-3879 | 2020-03-02 |
1033752514 | Molly Rose Camelo | Specialist/Technologist | 375 Swains Pond Ave, Melrose, MA 02176-5811 | 2019-10-28 |
Find all providers in MELROSE |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736489 | Jillian M Boyle | Counselor | 500 Main St Apt 5, Melrose, MA 02176-3828 | 2020-10-01 |
1760977003 | Patricia Ruth Lytwyn | Counselor | 243 Beech Ave, Melrose, MA 02176-5003 | 2018-06-28 |
1588067953 | Gabrielle Wolfe | Counselor | 119 W Wyoming Ave Apt C, Melrose, MA 02176-3751 | 2014-09-30 |
1689073488 | Michelle Shafer | Counselor | 117 Upham St, Melrose, MA 02176-3529 | 2014-08-18 |
1316361801 | Patrica Shackleford | Counselor | 2380 Se County Road 21b, Melrose, FL 32666-5113 | 2014-02-05 |
1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
1558678128 | Lisa Silveria | Counselor | 31 Fairmount St, Melrose, MA 02176-4812 | 2010-09-02 |
1730317793 | Kimberly Bennett Barad | Counselor | 12 Wildwood Rd, Melrose, MA 02176-3412 | 2009-06-29 |
1851585558 | Debra A Broadley | Counselor | 35 Laurel St, Melrose, MA 02176-4023 | 2007-09-05 |
1326058140 | Marcia M. Binder | Counselor | 91 East St, Melrose, MA 02176-3301 | 2006-08-08 |
Find all providers in MELROSE |
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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.