MS. CARY ANN BACKENGER (NPI# 1104960376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104960376 |
| Entity Type | Individual |
| Full Name | MS. CARY ANN BACKENGER |
| Credential | MS, LPC, CADCIII |
| Practice Address |
103 W College Ave Appleton WI 54911-5770 |
| Mailing Address |
339 Schindler Dr Kimberly WI 54136-1231 |
| Practice Telephone | 9207331992 |
| Practice Fax Number | 9207331866 |
| Mailing Telephone | 9207338488 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2115-132 | WI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
2658-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
103 W COLLEGE AVE |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-5770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710073804 | Robert Burkham | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-10-05 |
| 1669700761 | Robert Burkham, Ph.d., S.c. | Psychologist | 103 W College Ave, Suite 611, Appleton, WI 54911-5770 | 2009-12-01 |
| 1275765513 | Hall Psychological Services LLC | Clinic/Center | 103 W College Ave, Suite 611, Appleton, WI 54911-5770 | 2009-08-20 |
| 1679720650 | Gerald Ike Metalsky | Psychologist | 103 W College Ave, Suite 1125, Appleton, WI 54911-5770 | 2008-08-21 |
| 1992905038 | Craig Joseph Martin | Chiropractor | 103 W College Ave, Suite 406, Appleton, WI 54911-5770 | 2007-07-18 |
| 1174672000 | Diane Wizner | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2007-01-09 |
| 1790847655 | Ellen C Needham | Counselor | 103 W College Ave, #815, Appleton, WI 54911 | 2006-12-15 |
| 1578625539 | Jane Marbury Keggi | Psychologist | 103 W College Ave, Suite 815, Appleton, WI 54911 | 2006-12-15 |
| 1649354077 | Wellness Counseling Center, L.L.C. | Counselor | 103 W College Ave, Suite 815, Appleton, WI 54911-5770 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373843 | Life Counseling & Consulting, LLC | Counselor | 101 W Edison Avenue, Suite 117, Appleton, WI 54915-1930 | 2019-12-13 |
| 1699233270 | A Village LLC | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2019-03-04 |
| 1578081766 | Erin Bozich | Counselor | 1000 N Lynndale Dr Ste C, Appleton, WI 54914-3057 | 2017-09-07 |
| 1124542709 | Anthony Edward Klingert | Counselor | 3003 N Richmond St # A, Appleton, WI 54911-1148 | 2017-07-26 |
| 1043661036 | Wisconsin Lutheran Child & Family Service | Counselor | 5300 N Meade St, Appleton, WI 54913-8383 | 2016-06-30 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| 1356766406 | Renee Taylor | Counselor | 201 S Glenridge Ct, Appleton, WI 54914-3905 | 2014-02-26 |
| 1720351729 | James Edward Reider | Counselor | 3301 3301 N. Ballard Road, Appleton, WI 54911-9002 | 2012-02-22 |
| 1477845147 | Mallory Barbara Herrin | Counselor | 820 W. College Ave, Appleton, WI 54914 | 2011-05-12 |
| 1982933479 | Stephanie I. Braski | Counselor | 1531 S. Oneida St, Appleton, WI 54915 | 2009-12-14 |
| Find all providers in APPLETON | ||||
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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.