KATHARINE B STICH (NPI# 1215310065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215310065 |
| Entity Type | Individual |
| Full Name | KATHARINE B STICH |
| Other Name | KATHARINE B STICH |
| Practice Address |
1841 Madora Ave Douglas WY 82633 |
| Mailing Address |
1841 Madora Ave Douglas WY 82633-3057 |
| Practice Telephone | 3073582846 |
| Practice Fax Number | 3073581144 |
| Mailing Telephone | 3073582846 |
| Mailing Fax Number | 3073581144 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-1638 | WY | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-1638 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106402908 | 05 | |
| WY | 106402907 | 05 |
| Street Address |
1841 MADORA AVE |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003023 | Solutions for Life | Clinic/Center | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-02-23 |
| 1821602475 | Kelly Ross | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2020-09-01 |
| 1447863626 | Jayme Donaldson | Nurse Practitioner | 1841 Madora Ave, Douglas, WY 82633-3057 | 2020-08-26 |
| 1669010633 | Kara A Mitchell | Case Manager/Care Coordinator | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-12-20 |
| 1669014833 | Roman Moss | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-10-09 |
| 1699324996 | Magaly Guerrero | Social Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-09-09 |
| 1700443140 | Rhylee Ramsey | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-05-21 |
| 1093283830 | Brooke Hannah Marcus | Case Manager/Care Coordinator | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-11-09 |
| 1902373962 | Jacqueline M Bowen | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-10-29 |
| 1508331216 | Wendy Hill | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1376737858 | Shirley Ann Strock | Counselor | 715 Highway 93, Douglas, WY 82633-9267 | 2007-08-28 |
| 1780805275 | Candace Matthews Reed | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2007-05-01 |
| 1649828831 | New Beginnings Counseling LLC | Counselor | 322 E Center St, Douglas, WY 82633-2541 | 2019-08-30 |
| 1225497324 | Positive Alternatives Counseling | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2016-02-17 |
| 1891186490 | Brandelyn Baggett Smith | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2015-02-18 |
| 1508265703 | Carlos G Quijada Sr. | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2014-08-14 |
| 1518023753 | Jane Stearns | Counselor | 310 S 4th St, Douglas, WY 82633-2530 | 2006-12-30 |
| 1134296650 | Shirley D. Blakeley | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-11-29 |
| 1073680518 | Stacie L. Thoma | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-11-29 |
| Find all providers in DOUGLAS | ||||
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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.