TIMOTHY SWANSON (NPI# 1124039367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124039367 |
| Entity Type | Individual |
| Full Name | TIMOTHY SWANSON |
| Credential | MS, LCPC, LPC |
| Practice Address |
1 1/2 W Geneva St Elkhorn WI 53121-1722 |
| Practice Telephone | 2627233424 |
| Practice Fax Number | 2627238308 |
| Mailing Telephone | 2627233424 |
| Mailing Fax Number | 2627238308 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
180-000950 | IL | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5120-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1124039367 | 05 | |
| IL | BC/BS OF AMERICA | 5615096 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396861878 | Timothy Swanson | Massage Therapist | 503 12th Ave E, Seattle, WA 98102-5103 | 2007-03-22 |
| 1508258302 | Timothy Swanson | Counselor | 1826 E Platte Ave Ste 102, Colorado Springs, CO 80909-5738 | 2015-03-03 |
| 1740595453 | Timothy R Swanson | Physical Therapist | 2311 S Kansas Rd, Newton, KS 67114-9032 | 2010-08-18 |
| 1699730366 | Timothy John Swanson | Dentist | 120 E Main St, Mankato, MN 56001-3501 | 2006-04-18 |
| 1447226758 | Timothy V Swanson | Pediatrics | 101 Willmar Ave Sw, Acmc, Willmar, MN 56201 | 2006-02-27 |
| Street Address |
1 1/2 W GENEVA ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487648663 | Credence Therapy Associates Inc | Clinic/Center | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2005-09-02 |
| 1366059800 | Jessica Lynn Hardy | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-29 |
| 1396351789 | Danielle Obannon | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-21 |
| 1154948842 | Ronna Lynette Brennan | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-06-29 |
| 1184275075 | Kelli Brossart | Social Worker | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2019-09-23 |
| 1639687353 | Stephanie A Mager | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2018-01-16 |
| 1912372038 | Janis M Paonessa | Marriage & Family Therapist | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2015-12-01 |
| 1295155166 | Cassandra Abel | Social Worker | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2014-04-18 |
| 1770912958 | Laurie Ventela | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121 | 2013-11-07 |
| 1902054026 | Judith R Rolfs | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948842 | Ronna Lynette Brennan | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-06-29 |
| 1154943223 | Veronique Wolf | Counselor | 1910 County Road Nn, Elkhorn, WI 53121 | 2020-05-12 |
| 1104336130 | Julie Valler | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2017-10-04 |
| 1558751826 | Kimberly Olson | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2015-01-26 |
| 1669887113 | Maureen Positano | Counselor | W4063 Hwy Nn, Elkhorn, WI 53121-4338 | 2014-06-24 |
| 1003246943 | Jacquelyn Rupnik | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2013-11-13 |
| 1346681400 | Christine Stine | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2013-07-17 |
| 1245575158 | Holly Michelle Gifford | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2012-12-04 |
| 1154665214 | Bradley Ross | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2012-11-15 |
| 1821263724 | Carrie L Kelly | Counselor | W4051 County Road Nn, Elkhorn, WI 53121-4338 | 2008-04-23 |
| Find all providers in ELKHORN | ||||
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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.