KABBA RECOVERY SERVICES (NPI# 1255964748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255964748 |
| Entity Type | Organization |
| Organization Name | KABBA RECOVERY SERVICES |
| Practice Address |
1955 W Broadway Ste 102 Monona WI 53713-3700 |
| Practice Telephone | 6467505416 |
| Mailing Telephone | 6467505416 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | SARA JANE ALLEE-JATTA (OWNER) |
| Authorized Official Telephone | 6467505416 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100076669 | 05 |
| Street Address |
1955 W BROADWAY STE 102 |
| City | MONONA |
| State | WI |
| Zip Code | 53713-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699267245 | Stephenie M Gilbert | Counselor | 1955 W Broadway Ste 105, Monona, WI 53713-3700 | 2018-05-30 |
| 1215477542 | Sara Jane Allee-jatta | Counselor | 1955 W Broadway, Monona, WI 53713-3700 | 2017-03-06 |
| 1598209280 | Danielle Bailey | Counselor | 6400 Gisholt Dr Ste 209, Monona, WI 53713-4832 | 2016-12-14 |
| 1124465216 | Renee Saltzman | Counselor | 6117 Monona Dr Ste 5, Monona, WI 53716-3962 | 2013-05-29 |
| 1710259734 | Julie Bolinger-jones | Counselor | 5900 Monona Dr Ste 300, Monona, WI 53716-3561 | 2012-02-07 |
| 1003052572 | Jessica Marie Pankratz | Counselor | 1250 Femrite Dr Ste 205, Monona, WI 53716-3757 | 2009-01-05 |
| 1275723504 | William R. Mcauliffe-schroeder | Counselor | 1250 Femrite Dr, Suite 205, Monona, WI 53716-3787 | 2007-08-01 |
| 1720166846 | James Allen Thompson | Counselor | 6000 Gisholt Dr Ste 202, Monona, WI 53713-4816 | 2006-11-02 |
| 1801493994 | Caitlin Mary Clifford | Counselor | 300 Femrite Dr, Monona, WI 53716-3798 | 2020-10-02 |
| 1831756428 | Rebecca J Kienbaum | Counselor | 300 Femrite Dr, Monona, WI 53716-3716 | 2019-05-20 |
| Find all providers in MONONA | ||||
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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.