EXPRESSIVE THERAPIES LLC (NPI# 1225439326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225439326 |
| Entity Type | Organization |
| Organization Name | EXPRESSIVE THERAPIES LLC |
| Practice Address |
510 E Wisconsin Ave A Appleton WI 54911-4865 |
| Practice Telephone | 9202840891 |
| Practice Fax Number | 8007913601 |
| Mailing Telephone | 9202840891 |
| Mailing Fax Number | 8007913601 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | SARA LYNN DEVINE (OWNER, PRIMARY THERAPIST) |
| Authorized Official Telephone | 9202840891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7854-123 | WI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295028041 | Expressive Therapies LLC | Counselor | 825 E Speer Blvd, Suite 306, Denver, CO 80218-3719 | 2011-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Expressive Therapies LLC | 323 S Pearl St, Denver, CO 80209 |
| Street Address |
510 E WISCONSIN AVE A |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-4865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316130404 | Jessica R Schroeder | Psychologist | 510 E Wisconsin Ave, Suite 1, Appleton, WI 54911-4865 | 2007-08-22 |
| 1720522550 | Anney Renee Fahrenholz | Behavioral Analyst | 510 E Wisconsin Ave, Appleton, WI 54911-4865 | 2016-12-13 |
| 1548719495 | Rachel Lofton | Music Therapist | 510 E Wisconsin Ave, Ste A, Appleton, WI 54911-4865 | 2016-10-03 |
| 1184087884 | Mary Elizabeth Markman | Counselor | 510 E Wisconsin Ave, Suite #1, Appleton, WI 54911-4865 | 2016-03-30 |
| 1558729285 | Sara L Williams | Music Therapist | 510 E Wisconsin Ave, Appleton, WI 54911-4865 | 2016-02-09 |
| 1770812323 | Laura Solper | Social Worker | 510 E Wisconsin Ave, Appleton, WI 54911-4865 | 2009-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557894 | Changing Habits, LLC | Community/Behavioral Health | 1030 W Hawes Ave, Appleton, WI 54914-2722 | 2008-08-12 |
| 1619325164 | Journey of Grace Counseling LLC | Community/Behavioral Health | 5497 W Waterford Ln, Suite A, Appleton, WI 54913-8509 | 2016-05-25 |
| 1144687740 | Bertrand Schmitz Consulting Services, Inc. | Community/Behavioral Health | 815 W 8th St, Appleton, WI 54914-5347 | 2016-01-27 |
| 1568714657 | Get Connected Counseling, LLC | Community/Behavioral Health | 5497 W Waterford Ln, Suite A, Appleton, WI 54913-8509 | 2012-10-12 |
| 1386992451 | Catalpa Health | Community/Behavioral Health | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2012-08-21 |
| 1477873388 | Attic Correctional Services | Community/Behavioral Health | 720 W Washington St, Appleton, WI 54914-3805 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968990 | Zoran Jovicic | Community/Behavioral Health | 3239 S 58th St Unit 104, Milwaukee, WI 53219-4365 | 2020-10-08 |
| 1437776457 | Milkweed Connections LLC | Community/Behavioral Health | 1700 Tainter St Ste D, Menomonie, WI 54751-1358 | 2020-06-26 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1740804491 | Strides Equestrian Therapeutic Center LLC | Community/Behavioral Health | W6769 Colby Factory Rd, Greenwood, WI 54437-9010 | 2020-05-28 |
| 1841831153 | Sheboygan County Halfway House | Community/Behavioral Health | 503 Ontario Ave, Sheboygan, WI 53081-4151 | 2019-10-08 |
| 1780234955 | Spirited Psychological Services LLC | Community/Behavioral Health | 376 Violet Cir, Grantsburg, WI 54840-8564 | 2019-09-18 |
| 1548816580 | Latara Williams | Community/Behavioral Health | 2447 N 50th St, Milwaukee, WI 53210-2815 | 2019-08-15 |
| 1942856091 | Kennedy's Circle of Wellness LLC | Community/Behavioral Health | 3614 W North Ave, Milwaukee, WI 53208-1416 | 2019-08-14 |
| 1104386101 | Counseling Center | Community/Behavioral Health | 601 N 5th St, Sheboygan, WI 53081-4624 | 2019-03-25 |
| 1205391828 | Jerome Pitchford | Community/Behavioral Health | 1220 W Atkinson Ave, Milwaukee, WI 53206-3024 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
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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.