LEAH ROUSE (NPI# 1104200419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104200419 |
| Entity Type | Individual |
| Full Name | LEAH ROUSE |
| Practice Address |
W3275 Wolf River Road Keshena WI 54135-0970 |
| Mailing Address |
Po Box 970 Keshena WI 54135-0970 |
| Practice Telephone | 7157995451 |
| Practice Fax Number | 7157993929 |
| Mailing Telephone | 7157995451 |
| Mailing Fax Number | 7157993929 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3221-57 | WI | Behavioral Health & Social Service Providers |
| Street Address |
W3275 WOLF RIVER ROAD |
| City | KESHENA |
| State | WI |
| Zip Code | 54135-0970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225033137 | Robert P Chelberg | Optometrist | W3275 Wolf River Road, Keshena, WI 54135 | 2005-06-16 |
| 1407236359 | Matthew J Charging | Dentist | W3275 Wolf River Road, Keshena, WI 54135-0970 | 2015-06-05 |
| 1285040428 | Sarah Harkey | Nurse Practitioner | W3275 Wolf River Road, Keshena, WI 54135 | 2014-07-09 |
| 1336581313 | Jodi L Lindroth | Physical Therapist | W3275 Wolf River Road, Menomineetribal Clinic, Keshena, WI 54135-0970 | 2013-07-19 |
| 1962740258 | Jodi L. Opper | Counselor | W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 | 2013-01-22 |
| 1518213115 | Estelle Ostgard | Family Medicine | W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 | 2012-08-01 |
| 1306113873 | Scott Krueger | Dietitian, Registered | W3275 Wolf River Road, Keshena, WI 54135-0970 | 2011-11-28 |
| 1912295080 | Paul M Lorentson | Dentist | W3275 Wolf River Road, Keshena, WI 54135-0970 | 2011-07-11 |
| 1235464801 | Jean Lund | Dental Hygienist | W3275 Wolf River Road, Keshena, WI 54135 | 2009-10-15 |
| 1730334020 | Mary Callis | Family Medicine | W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 | 2008-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278890 | James Garrett Hines | Dentist | W3275 Wolf River Drive, Menominee Tribal Clinic, Keshena, WI 54135 | 2015-06-25 |
| 1447573654 | Menominee County Health & Human Services | Community/Behavioral Health | W3272 Wolf River Rd, Keshena, WI 54135 | 2010-03-03 |
| 1689850349 | Katherine Ellen Marienfeld | Internal Medicine | W 3275 Wolf River Drive, Keshena, WI 54135 | 2008-01-11 |
| 1811196645 | Menominee County Health & Human Services | Public Health or Welfare | W3272 Wolf River Road, Keshena, WI 54135 | 2007-07-12 |
| 1295777415 | Roger W Barr | Social Worker | W3275 Wolf River Dr, Keshena, WI 54135 | 2006-06-12 |
| 1336134824 | Carol J Foss | Psychologist | W3275, Wolf River Road, Keshena, WI 54135 | 2005-09-12 |
| 1174902209 | Heather Marie Nennig | Family Medicine | W3275 Wolf River Dr, Keshena, WI 54135 | 2015-05-21 |
| 1023364668 | Danielle Faye Hoskins | Counselor | W3272 Wolf River Road, Keshena, WI 54135-0280 | 2012-08-01 |
| 1598128340 | Ryan Forbey | Counselor | W3275 Wolf River Dr, Keshena, WI 54135-0970 | 2016-03-30 |
| 1386823763 | Menominee Indian School District | Local Education Agency (LEA) | N522 State Highway 47/55, Keshena, WI 54135-1330 | 2007-11-01 |
| Find all providers in zip 54135 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134824 | Carol J Foss | Psychologist | W3275, Wolf River Road, Keshena, WI 54135 | 2005-09-12 |
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|---|---|---|---|---|
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| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1184248593 | Jill Mallin | Psychologist | 10 S Water St E, Fort Atkinson, WI 53538-2053 | 2020-06-01 |
| 1669095303 | Generational Cycles LLC | Psychologist | 2208 W Rohr Ave, Milwaukee, WI 53209-5057 | 2020-05-27 |
| 1518529718 | Ellen Marie Meier-licht | Psychologist | 200 N Mall Dr, Appleton, WI 54913-8500 | 2019-07-08 |
| 1396309076 | John Nathaniel Greene Jr. | Psychologist | 6100 N 42nd St, Milwaukee, WI 53209-3560 | 2019-04-27 |
| 1396201455 | Pathways Counseling Services | Psychologist | 1025 56th St, Kenosha, WI 53140-3737 | 2019-02-13 |
| 1912461385 | We All Rise Counseling Services LLC | Psychologist | 529 S Jefferson St Ste 201, Green Bay, WI 54301-4125 | 2019-01-30 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1295202976 | Pkm Clinical Solutions LLC | Psychologist | W206s7867 Pasadena Dr, Muskego, WI 53150-9532 | 2018-10-31 |
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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.