MS. JEAN MARIE PRUSCHA (NPI# 1225168891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225168891 |
| Entity Type | Individual |
| Full Name | MS. JEAN MARIE PRUSCHA |
| Credential | CSAC, ICS |
| Practice Address |
840 Lake Ave Suite 101 Racine WI 53403-1566 |
| Mailing Address |
N3157 Williams St Lake Geneva WI 53147-3532 |
| Practice Telephone | 2626348688 |
| Practice Fax Number | 2626347547 |
| Mailing Telephone | 2622490382 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-09 |
| 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) |
11083-132 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39389200 | 05 |
| Street Address |
840 LAKE AVE SUITE 101 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275586323 | Racine Psychological Services, Inc. | Clinic/Center | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-05-18 |
| 1013166891 | Sammy Joe Rangel | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-09-16 |
| 1619148970 | Regina Marlene Hadley | Counselor | 840 Lake Ave, 101, Racine, WI 53403-1566 | 2008-03-14 |
| 1316021405 | D Martin Hayden | Psychologist | 840 Lake Ave, Racine, Racine, WI 53403-1566 | 2006-10-25 |
| 1558305409 | Mariah Hewitt | Psychologist | 840 Lake Ave, Ste 101, Racine, WI 53403-1566 | 2006-06-15 |
| 1710925151 | Paul Wilhelm Voelkel | Psychologist | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-06-04 |
| 1134175334 | Mary Jane Whitmore | Counselor | 840 Lake Ave, Suite 101, Racine, WI 53403-1566 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1255798351 | Lazria Price | Counselor | 3801 Monarch Drive 2d, Racine, WI 53406-5500 | 2016-01-20 |
| 1881067197 | Jerry Morris | Counselor | 1303 Chatham St, Racine, WI 53402-4947 | 2015-11-09 |
| 1225434244 | Tuanquilla Montessa Thompson | Counselor | 829 Wisconsin Ave, Racine, WI 53403-1505 | 2014-11-18 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1578811980 | Orlesia Gay Gooseberry | Counselor | 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 | 2012-08-16 |
| 1720363849 | Carla Yvette Ward | Counselor | 5735 Durand Ave Suite A, Racine, WI 53406 | 2011-10-20 |
| 1871804963 | Sharon Johnson-visor | Counselor | 6939 Mariner Dr Ste C, Racine, WI 53406-4090 | 2010-06-23 |
| 1770753766 | Sara L De Grave | Counselor | 521 Sixth St, Racine, WI 53403-1117 | 2008-03-05 |
| Find all providers in RACINE | ||||
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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.