JEREMY J BURTCH (NPI# 1245319078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245319078 |
| Entity Type | Individual |
| Full Name | JEREMY J BURTCH |
| Credential | LPC |
| Practice Address |
602 Pleasant Oak Drive Oregon WI 53575-3648 |
| Mailing Address |
602 Pleasant Oak Dr Oregon WI 53575-3648 |
| Practice Telephone | 6088355050 |
| Practice Fax Number | 6088355010 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3249125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40942700 | 05 | |
| WI | LICENSED PROF COUNSELOR | 3249125 | 01 |
| Street Address |
602 PLEASANT OAK DRIVE |
| City | OREGON |
| State | WI |
| Zip Code | 53575-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015333 | Theresa Sloarie Haywood | Registered Nurse | 372 Nygaard St., Oregon, WI 53575 | 2018-06-04 |
| 1669751806 | Erin J Olheiser | Counselor | 185 W Netherwood St Ste 6b, Oregon, WI 53575 | 2011-08-05 |
| 1053627059 | Roxanne Butterfield | Registered Nurse | 793 Pleasant Oak, Oregon, WI 53575 | 2010-08-27 |
| 1528217759 | Tammy Dee Mandarino | Dentist | 696 Janesville St, Oregon, WI 53575 | 2008-09-11 |
| 1306924832 | Chad T Mueller | Dentist | 978 Park St, Oregon, WI 53575 | 2006-11-01 |
| 1114001666 | Oregon Manor Ltd | Skilled Nursing Facility | 354 N. Main Street, Oregon, WI 53575 | 2006-10-24 |
| 1982056602 | Kristin L. Catani | Family Medicine | 137 S Main St, Oregon, WI 53575 | 2016-07-06 |
| 1053651331 | Oregon Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 N Main St, Oregon, WI 53575 | 2013-02-22 |
| 1336445279 | David Alfred Gebhardt | Counselor | 5212 County Highway M, Oregon, WI 53575 | 2011-02-09 |
| 1588837751 | Susan A Johnson | Occupational Therapy Assistant | 354 N Main St, Oregon Manor Ltd, Oregon, WI 53575 | 2008-04-09 |
| Find all providers in zip 53575 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548497191 | Ashley Patterson | Counselor | 100 Jefferson Street, Oregon, IL 61061-1609 | 2009-06-22 |
| 1588861926 | Jeffrey Dean Cotton | Counselor | 505 S Washington St, Oregon, MO 64473-9655 | 2007-06-29 |
| 1598883902 | Connie Kaye Davis | Counselor | 807 Madison St, Oregon, IL 61061-1735 | 2007-03-26 |
| 1801925433 | Oregon Mental Health Services,llc | Counselor | 165 W Netherwood St Ste A, Oregon, WI 53575-1107 | 2007-03-02 |
| 1457362204 | Tamie Roberts | Counselor | 602 Pleasant Oak Dr, Oregon, WI 53575-3282 | 2006-08-10 |
| 1346868791 | Alex Hasson | Counselor | 100 Jefferson St, Oregon, IL 61061-1612 | 2020-07-13 |
| 1912530940 | Olivia Hoang | Counselor | 165 W Netherwood St Ste A, Oregon, WI 53575-1107 | 2020-02-18 |
| 1699315341 | Jennifer Meisel | Counselor | 100 Jefferson St, Oregon, IL 61061-1612 | 2020-01-10 |
| 1538717210 | Nikki Principato | Counselor | 125 S 4th St, Oregon, IL 61061-1609 | 2019-08-27 |
| 1164986493 | Spring Johansson | Counselor | 100 Jefferson St, Oregon, IL 61061-1612 | 2019-01-31 |
| Find all providers in OREGON | ||||
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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.