MS. DEBRA JILL SEVERSON (NPI# 1205022316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205022316 |
| Entity Type | Individual |
| Full Name | MS. DEBRA JILL SEVERSON |
| Credential | MS LPC |
| Practice Address |
23758 State Road 35 Siren WI 54872-0356 |
| Mailing Address |
1821 1 1/2 St Po Box 27 Comstock WI 54826-0027 |
| Practice Telephone | 7153498913 |
| Practice Fax Number | 7153498981 |
| Mailing Telephone | 7158222075 |
| Mailing Fax Number | 7148222205 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1116 125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39772500 | 05 | |
| WI | PROFESSIONAL COUNSELOR | 1116 125 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124166525 | Debra Dee Severson | Audiologist | 127 Albany Ave Se, Orange City, IA 51041-1729 | 2007-02-01 |
| 1336238724 | Debra Ann Severson | Nurse Practitioner | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | 2006-10-12 |
| 1326153669 | Debra Severson | Occupational Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2006-08-19 |
| Street Address |
23758 STATE ROAD 35 |
| City | SIREN |
| State | WI |
| Zip Code | 54872-0356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073989315 | Kristin L Barnes | Occupational Therapy Assistant | 7410 Co Hwy K, Siren, WI 54872 | 2015-08-20 |
| 1992113815 | In The Woods Apothecary | Pharmacy | 24106 State Rd 35, Siren, WI 54872 | 2014-07-23 |
| 1811137573 | Linda Slaikeu | Marriage & Family Therapist | 23758 State Rd 35, Siren, WI 54872 | 2009-02-20 |
| 1245405539 | Sarah L Busch | Counselor | 7670 Johnson Street, Siren, WI 54872 | 2008-04-28 |
| 1285760751 | Oak Park Dental Clinic | Clinic/Center | 24164 Highway 35-70, Siren, WI 54872 | 2007-02-26 |
| 1326113275 | Warren D Stouffer | Counselor | 24670 State Rd 35 70, Suite 1200 Aurora Community Counseling Employee Support, Siren, WI 54872 | 2006-11-22 |
| 1861464307 | April Dawn Svoboda Smith | Optometrist | 24082 State Road 35, Siren, WI 54872 | 2006-02-07 |
| 1659770113 | In The Woods Apothecary | Pharmacy | 24106 State Rd 35, Siren, WI 54872 | 2014-08-20 |
| 1063616571 | Siren Family Eyecare, LLC | Optometrist | 24082 State Road 35, Siren, WI 54872 | 2007-06-11 |
| 1578644639 | Hawkeye Enterprises LLC | Pharmacy | 24106 State Road 35, Siren, WI 54872-0000 | 2006-10-17 |
| Find all providers in zip 54872 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. DEBRA JILL SEVERSON.
| 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.