MISS NICOLE MARIE WITEK (NPI# 1093226466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093226466 |
Entity Type | Individual |
Full Name | MISS NICOLE MARIE WITEK |
Credential | BS |
Practice Address |
199 County Road Df 3rd Floor Juneau WI 53039-9512 |
Practice Telephone | 9203864094 |
Practice Fax Number | 9203863812 |
Mailing Telephone | 9203864094 |
Mailing Fax Number | 9203863812 |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Street Address |
199 COUNTY ROAD DF 3RD FLOOR |
City | JUNEAU |
State | WI |
Zip Code | 53039-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871508515 | County of Dodge | Community/Behavioral Health | 199 County Road Df 3rd Floor, Juneau, WI 53032-9512 | 2006-07-30 |
1417105958 | Dodge County | Community/Behavioral Health | 199 County Road Df 3rd Floor, Juneau, WI 53032-9512 | 2008-09-08 |
1154589562 | County of Dodge | Community/Behavioral Health | 199 County Road Df 3rd Floor, Juneau, WI 53032-9512 | 2008-06-02 |
1003992207 | Dodge County | Case Management | 199 County Road Df 3rd Floor, Juneau, WI 53032-9512 | 2006-10-31 |
1598853020 | County of Dodge | Case Management | 199 County Road Df 3rd Floor, Juneau, WI 53039-9512 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487994281 | Erin Elizabeth Lueck | Physical Therapy Assistant | 198 County Rd Df, Juneau, WI 53039 | 2013-02-15 |
1013220375 | Doreen Kay Eicher | Occupational Therapist | 199 Home Rd., Juneau, WI 53039 | 2010-07-15 |
1629241153 | Kimberly Ann Kunz | Counselor | 199 County Rd Df, Juneau, WI 53039 | 2008-04-04 |
1508947086 | City of Juneau Emergency Medical Services | Ambulance | 128 E Cross St, Juneau, WI 53039 | 2006-10-18 |
1063980845 | Amanda M Reda-goglio | Nurse Practitioner | 199 County Road Df, Juneau, WI 53039 | 2018-11-09 |
1558897306 | Jennifer Woolridge | Occupational Therapist | 199 County Road Df, Juneau, WI 53039 | 2017-05-11 |
1245616945 | Sara Bashaw | Physical Therapy Assistant | 199 Home Rd, Juneau, WI 53039 | 2015-08-04 |
1831410521 | Beaver Dam Community Hospitals, Inc. | Family Medicine | 420 W North St, Juneau, WI 53039 | 2010-06-16 |
1396936407 | Dodgeland School District | Local Education Agency (LEA) | 401 S Western Ave, Juneau, WI 53039-1160 | 2007-08-05 |
1457306375 | Juneau Chiropractic Center | Chiropractor | 170 S Western Ave, Juneau, WI 53039-1161 | 2006-05-23 |
Find all providers in zip 53039 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564772 | Michelle Deboarh Burlin | Counselor | 3005 Clinton Dr Unit A4, Juneau, AK 99801-7167 | 2020-10-01 |
1962958843 | Corle Laforce-mcpherson | Counselor | 437 Park St, Juneau, AK 99801-1062 | 2016-08-30 |
1265655294 | Sylvia Marie Kidd | Counselor | 9000 Glacier Highway, Suite 204, Juneau, AK 99801-8097 | 2007-04-10 |
1164554887 | Community Christian Counseling Center | Counselor | 11024 Auke Lake Way, Juneau, AK 99801 | 2007-03-09 |
1205963832 | Margaret Ruth Telfer | Counselor | 3017 Clinton Dr, Suite 202, Juneau, AK 99801-7106 | 2007-02-28 |
1265597678 | Nancy S. Simpson | Counselor | 2270 Fritz Cove Rd, Juneau, AK 99801-8505 | 2006-12-26 |
1770199002 | Connie Lynn Schaaf | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2020-09-22 |
1235775297 | Virginia Plett | Counselor | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-11-25 |
1508400896 | Brandon Kay Eubanks | Counselor | 3260 Hospital Dr, Juneau, AK 99801-7808 | 2019-10-30 |
1548810831 | Frederick Yates | Counselor | 3406 Glacier Hwy, Juneau, AK 99801-7251 | 2019-09-18 |
Find all providers in JUNEAU |
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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.