MRS. GRACE E BRANHAM (NPI# 1154484962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154484962 |
| Entity Type | Individual |
| Full Name | MRS. GRACE E BRANHAM |
| Credential | LMFT |
| Practice Address |
1035 N Main St Rice Lake WI 54868-1260 |
| Practice Telephone | 7152344313 |
| Mailing Telephone | 7152347477 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
183-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39793200 | 05 |
| Street Address |
1035 N MAIN ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-1260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265406227 | Blue Hills Counseling LLC | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-02-15 |
| 1417437351 | Tiana Kristensen | Speech-Language Pathologist | 1035 N Main St, Rice Lake, WI 54868 | 2018-08-20 |
| 1255782884 | Haley Weich | Speech-Language Pathologist | 1035 N Main St, Rice Lake, WI 54868-1260 | 2016-06-24 |
| 1386707115 | Beverly A Haverly | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-12-19 |
| 1396808127 | Jeanne M Brand | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-12-19 |
| 1154492841 | Branham Healy Orthopedic Clinic Sc | Orthopaedic Surgery | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-11-13 |
| 1437243151 | Roger V Branham | Orthopaedic Surgery | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-10-03 |
| 1639108947 | Patrick M Healy | Orthopaedic Surgery | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912173519 | Marriage & Family Health Service, Ltd | Counselor | 1107 Heart Island Pkwy, Rice Lake, WI 54868-3900 | 2008-05-02 |
| 1407061468 | Lisa Moreland | Counselor | 1791 22nd St, Rice Lake, WI 54868-8723 | 2007-05-13 |
| 1265406227 | Blue Hills Counseling LLC | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-02-15 |
| 1194888909 | Joanne L Faltz Bailey | Counselor | 331 S Main St, Rice Lake, WI 54868-2253 | 2006-12-19 |
| 1386707115 | Beverly A Haverly | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-12-19 |
| 1396808127 | Jeanne M Brand | Counselor | 1035 N Main St, Rice Lake, WI 54868-1260 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.