MS. MARA LISA PROFT


Address: W6905 Parkview Dr Ste A, Greenville, WI 54942-9099
Phone: 9205407214

MS. MARA LISA PROFT (NPI# 1144474248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144474248
Entity Type Individual
Full Name MS. MARA LISA PROFT
Credential M.S., L.P.C.
Practice Address W6905 Parkview Dr Ste A
Greenville
WI 54942-9099
Mailing Address N1366 Woodland Dr
Greenville
WI 54942-8035
Practice Telephone 9205407214
Mailing Telephone 9205407214
Enumeration Date 2008-11-17
Last Update Date 2008-11-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
736-125 WI Behavioral Health & Social Service Providers

Office Location

Street Address W6905 PARKVIEW DR STE A
City GREENVILLE
State WI
Zip Code 54942-9099

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336233287 James P Rodowca Acupuncturist W6905 Parkview Dr Ste A, Greenville, WI 54942-9099 2006-10-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124669908 Kelly Hoyer Technician W7211 Midnight Ct, Greenville, WI 54942 2019-10-03
1164986717 Rxlink Medical Durable Medical Equipment & Medical Supplies N922 Tower View Dr Ste 202, Greenville, WI 54942 2019-01-29
1225557457 Kelly Irene Watras Massage Therapist W6905 Parkview Drive, Greenville, WI 54942 2017-09-19
1730277245 Patrick Shannon Dewar Chiropractor N1734 Municipal Drive, Greenville, WI 54942 2006-10-10
1679730998 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center W6981 Parkview Dr, Greenville, WI 54942 2008-05-22
1194896886 Greenville Chiropractic Inc. Point of Service N1734 Municipal Drive, Greenville, WI 54942 2006-11-13
1427154228 Ascension Medical Group-fox Valley Wisconsin, Inc Durable Medical Equipment & Medical Supplies W6981 Parkview Dr, Greenville, WI 54942 2006-09-16
1740716836 Anthony Weinandt Jr. Student in an Organized Health Care Education/Training Program N1075 Alexandra Way, Greenville, WI 54942-2301 2017-05-10
1386823466 Julie Ann Abboud Podiatrist N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 2007-10-25
1164713509 Greenville Foot & Ankle Center, LLC Podiatrist N1697 Municipal Dr, Suite 3, Greenville, WI 54942-7700 2011-04-19
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1073157913 A Soothing & Comforting Touch, Inc Counselor 301 Airport Rd Ste E, Greenville, SC 29607-2610 2019-11-04
1073178992 Chameka Konswela Duncan Counselor 126 Wild Dogwood Way, Greenville, SC 29605-5966 2019-05-06
1679137269 Youth Full Innovations of The Carolina's, LLC Counselor 151 Commons Way Ste C1, Greenville, SC 29611-3850 2019-04-29
1851955165 Crew Case Management and Consulting Services South LLC Counselor 210 W Stone Ave Ste Lr1, Greenville, SC 29609-5493 2019-04-23
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Competitor

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City GREENVILLE
Zip Code 54942

Improve Information

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Dataset Information

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.

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