BRADLEY RAY HAWBECKER (NPI# 1235316381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235316381 |
| Entity Type | Individual |
| Full Name | BRADLEY RAY HAWBECKER |
| Credential | SAC 15654-131 |
| Practice Address |
2240 Praire Ave 10 Beloit WI 53511-2940 |
| Mailing Address |
2422 N Grandview Blvd Waukesha WI 53188-6105 |
| Practice Telephone | 6083617200 |
| Practice Fax Number | 6083617201 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2011-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15654-131 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42247900 | 05 |
| Street Address |
2240 PRAIRE AVE 10 |
| City | BELOIT |
| State | WI |
| Zip Code | 53511-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356684427 | Todd T Casey-schmidt | Licensed Practical Nurse | 2240 Praire Ave, Beloit, WI 53511-2940 | 2013-03-27 |
| 1831470525 | Yasmin Horton | Counselor | 2240 Praire Ave, Suite 10, Beloit, WI 53511-2940 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
| 1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
| 1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
| 1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
| 1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
| Find all providers in zip 53511 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477660 | Audrey Elaine Marchillo | Counselor | 3447 Bee Ln, Beloit, WI 53511-1901 | 2017-10-03 |
| 1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
| 1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
| 1154663375 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 1850 Cranston Rd, Beloit, WI 53511-2544 | 2013-03-26 |
| 1750621504 | Nancy Richardson | Counselor | 2627 Kadlec Dr, Beloit, WI 53511-6627 | 2013-02-14 |
| 1922345933 | Tonya G Ramsey | Counselor | 250 Garden Ln, Ste 106, Beloit, WI 53511-6168 | 2013-01-10 |
| 1285954065 | Joanne Roberts | Counselor | 1919 Chippewa Trl, Beloit, WI 53511-3819 | 2010-06-03 |
| 1629007877 | Mark W Rothfuss | Counselor | 207 N Mill St Ste 5, Beloit, KS 67420 | 2006-07-01 |
| 1306447909 | Brenda May Diaz | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-11-02 |
| 1134747009 | Breanna Elizabeth Adams | Counselor | 2240 Prairie Ave, Beloit, WI 53511-2648 | 2020-07-08 |
| Find all providers in BELOIT | ||||
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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.