COLLEEN LYNN KASTEN (NPI# 1205320462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205320462 |
| Entity Type | Individual |
| Full Name | COLLEEN LYNN KASTEN |
| Credential | SACIT |
| Practice Address |
1971 Washington St Ste 200 Grafton WI 53024-2125 |
| Practice Telephone | 2623776276 |
| Practice Fax Number | 2623776289 |
| Mailing Telephone | 2623776276 |
| Mailing Fax Number | 2623776289 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18529-130 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1622 Chestnut St, West Bend, WI 530953014 | 2623069800 | 2623069802 |
| 111 Warren St Ste 2, Beaver Dam, WI 539163084 | 9202194440 | 9202194553 |
| Street Address |
1971 WASHINGTON ST STE 200 |
| City | GRAFTON |
| State | WI |
| Zip Code | 53024-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964738 | Harsimran Kaur | Counselor | 1971 Washington St Ste 200, Grafton, WI 53024-2125 | 2018-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
| 1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
| 1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
| 1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
| 1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
| 1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
| 1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
| 1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
| Find all providers in zip 53024 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104216969 | Daniel Obrien | Counselor | 35645 State Route 303, Grafton, OH 44044-9660 | 2015-02-02 |
| 1770995961 | Kimbrley D Clark | Counselor | 2057 S. Avon-belden Rd, Grafton, OH 44044 | 2014-05-22 |
| 1366726978 | Janet Resteghini Sullivan | Counselor | 39 Lower Meadow Rd, Grafton, NH 03240-3410 | 2011-09-30 |
| 1124318738 | Quinndui/mip/counseling | Counselor | 47 West 6th Street, Grafton, ND 58237-8704 | 2011-04-15 |
| 1679635973 | Michael Anthony Bryan | Counselor | 728 Hill Avenue, Grafton, ND 58237 | 2006-12-14 |
| 1548870702 | Janet Mcdaniel | Counselor | 1 Hospital Plz, Grafton, WV 26354-1283 | 2020-08-03 |
| 1679081426 | Jesslyn L Chiarello | Counselor | 1971 Washington St, Grafton, WI 53024-2122 | 2018-01-15 |
| 1891231999 | Elizabeth Jane Grant | Counselor | 1971 Washington St, Suite 200, Grafton, WI 53024-2122 | 2017-01-12 |
| 1871948786 | Therese Ward | Counselor | 2075 Avon Belden Rd, Grafton, OH 44044-9805 | 2016-04-28 |
| 1558762641 | Jeffrey J Jerabek | Counselor | 2500 Avon Belden Rd, Grafton, OH 44044-9802 | 2014-09-09 |
| Find all providers in GRAFTON | ||||
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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.