BE WELL COUNSELING LLC (NPI# 1083140057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083140057 |
| Entity Type | Organization |
| Organization Name | BE WELL COUNSELING LLC |
| Practice Address |
420 E Green Bay St Suite 107 Shawano WI 54166-2549 |
| Mailing Address |
N6981 River Dr Shawano WI 54166-4222 |
| Practice Telephone | 7158538953 |
| Practice Fax Number | 7152010395 |
| Mailing Telephone | 7158538953 |
| Mailing Fax Number | 7152010395 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | ROBIN C RABER BERGEON (ONWER/PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7158538953 |
| Authorized Official Credential | LCSW, CSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7539123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1821136540 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016422 | Be Well Counseling LLC | Community/Behavioral Health | 5200 Washington Ave Ste D, Evansville, IN 47715-4863 | 2020-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | BE WELL COUNSELING LLC | 4917 Underwood Ave, Omaha, NE 68132 |
| Street Address |
420 E GREEN BAY ST SUITE 107 |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| 1093892796 | David P Ferris | Dentist | 420 E Green Bay St, Shawano, WI 54166-2549 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1184260358 | Kristo Ltd | Dentist | 115 Alpine Court, Shawano, WI 54166 | 2019-11-22 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326227802 | Torri Jean Gillis | Social Worker | 504 Lakeland Road, Shawano, WI 54166-6832 | 2007-10-31 |
| 1386837573 | John A. Mueller | Social Worker | 324 S Andrews St, Shawano, WI 54166-2406 | 2007-08-22 |
| 1821136540 | Robin C Raber Bergeon | Social Worker | 420 E Green Bay St Ste 107, Shawano, WI 54166-2500 | 2007-02-02 |
| 1225017064 | Laurie Ann Roberts | Social Worker | 310 S Bartlett St, Shawano, WI 54166-2704 | 2006-01-11 |
| 1447437645 | Rebecca Setterman | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-01-30 |
| 1750576385 | Eleanor Kline Claycomb | Social Worker | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2007-09-06 |
| 1699790865 | David Randall Block | Social Worker | 100 County Road B, Shawano, WI 54166-7072 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BE WELL COUNSELING LLC.
| 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.