LACY J POSSELT (NPI# 1154816783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154816783 |
Entity Type | Individual |
Full Name | LACY J POSSELT |
Practice Address |
64 Eclipse Ctr Beloit WI 53511-3550 |
Mailing Address |
Po Box 1649 Janesville WI 53547-1649 |
Practice Telephone | 6083636300 |
Enumeration Date | 2018-06-26 |
Last Update Date | 2018-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18441-130 | WI | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
3919-226 | WI | Behavioral Health & Social Service Providers |
Street Address |
64 ECLIPSE CTR |
City | BELOIT |
State | WI |
Zip Code | 53511-3550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215011465 | Melissa A Mcneill | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2006-10-24 |
1417120882 | County of Rock County Clerk | Community/Behavioral Health | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2008-04-08 |
1205009610 | County of Rock County Clerk | Community/Behavioral Health | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2008-04-07 |
1518149483 | Michelle L Muth | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-12-03 |
1205016763 | Diane K Olson | Counselor | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-13 |
1477733939 | Jamie G Bengtson | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-13 |
1467632927 | Philip W Story | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-13 |
1538349329 | Trudi J Ludois | Registered Nurse | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-08 |
1578743373 | Georgia J Waterman | Occupational Therapy Assistant | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-08 |
1467632471 | Jennifer E Venable | Social Worker | 64 Eclipse Ctr, Beloit, WI 53511-3550 | 2007-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396303871 | Marilyn Lensert Harris | Counselor | 1827 Chippewa Trl, Beloit, WI 53511-3817 | 2019-05-30 |
1639610520 | Dana M Ellis | Counselor | 136 W Grand Ave, Beloit, WI 53511-6259 | 2017-03-13 |
1043481385 | Rhonda S Doherty | Counselor | 64 Eclipse Cetner, Beloit, WI 53511 | 2008-03-14 |
1073794467 | Heidi L Lammon | Counselor | 3005 S Riverside Dr, Suite 102, Beloit, WI 53511-1500 | 2007-11-14 |
1811177991 | Stephanie Knueppel | Counselor | 400 E Grand Ave Ste 308, Beloit, WI 53511-6200 | 2007-11-06 |
1578041919 | Michael Blaine Johnson | Counselor | 416 College St, Beloit, WI 53511-6310 | 2018-07-28 |
1972099505 | Melissa L Beckford | Counselor | 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 | 2018-07-06 |
1740704287 | Melony Dawn Walsh | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-26 |
1821510595 | Jenniffer Beu | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-13 |
1245761535 | Ashley L Robinson | Counselor | 136 W Grand Ave, Suite 250, Beloit, WI 53511-6259 | 2017-03-27 |
Find all providers in BELOIT |
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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.