MR. CHARLES PETER KOENINGS (NPI# 1265644405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265644405 |
| Entity Type | Individual |
| Full Name | MR. CHARLES PETER KOENINGS |
| Credential | LCSW, SAC |
| Practice Address |
W247s10395 Center Dr Mukwonago WI 53149-9166 |
| Mailing Address |
N88w17545 Christman Rd Menomonee Falls WI 53051-2600 |
| Practice Telephone | 2626625900 |
| Practice Fax Number | 2626625688 |
| Mailing Telephone | 2622515128 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12673-131 | WI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1841-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39755000 | 05 |
| Street Address |
W247S10395 CENTER DR |
| City | MUKWONAGO |
| State | WI |
| Zip Code | 53149-9166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407078835 | Sandra Lynn Muetzel | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-03 |
| 1932633963 | Brittni Liebhauser | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2017-04-17 |
| 1194106500 | Emily Aleksy | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2015-06-11 |
| 1912292145 | Amy Beth Weast | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2011-06-15 |
| 1841466083 | Norris Adolescent Center | Residential Treatment Facility, Emotionally Disturbed Children | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2008-05-07 |
| 1235304056 | Norris Adolescent Center | Residential Treatment Facility, Emotionally Disturbed Children | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2008-04-23 |
| 1538374913 | Jeff Stephani | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-11 |
| 1821201146 | Jessica Lynn Elliott | Social Worker | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-07 |
| 1538371232 | Thomas William Towey | Counselor | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-04 |
| 1447472717 | Megan M. Lamster | Counselor | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1952724304 | Therapeutic Healing, LLC | Clinic/Center | S77 W30705 Mosher Dr., Mukwonago, WI 53149 | 2014-01-21 |
| 1659667087 | Joan Maria Stevenson | Occupational Therapist | 111 Aktinson St., Unit 2, Mukwonago, WI 53149 | 2011-06-23 |
| 1770873515 | Kimberly Lynn Schmor | Licensed Practical Nurse | 833 Pinehurst Dr, Mukwonago, WI 53149 | 2011-04-13 |
| 1952619959 | Jennifer Ann Crnkovich | Nurse Practitioner | W307 S7835 Applewood Lane, Mukwonago, WI 53149 | 2010-09-24 |
| 1841460839 | Wendy Schmidt | Occupational Therapist | 1231 S Rochester St Ste 210, Mukwonago, WI 53149 | 2008-03-05 |
| 1659589570 | Pamela Ann Mcwilliams | Dentist | 603 North Rochester St., Mukwonago, WI 53149 | 2007-05-21 |
| 1891823787 | Rosalind J Boyer-cole | Anesthesiology | S86w26640 Rustic View Ln, Mukwonago, WI 53149 | 2007-03-01 |
| 1184777435 | Michael F Connor | Dentist | 603 N Rochester Street, Mukwonago, WI 53149 | 2007-01-19 |
| 1912057159 | Leah Mary Hudson | Occupational Therapist | 103 Apollo Ct, Mukwonago, WI 53149 | 2007-01-11 |
| Find all providers in zip 53149 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538371232 | Thomas William Towey | Counselor | W247s10395 Center Dr, Mukwonago, WI 53149-9166 | 2007-05-04 |
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|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1649879982 | Veronicia S Green | Counselor | 2821 N Vel R Phillips Ave Ste 131, Milwaukee, WI 53212-2370 | 2020-10-19 |
| 1578160974 | Jennifer A Nyman | Counselor | 2408 N 89th St, Wauwatosa, WI 53226-1804 | 2020-10-08 |
| 1558977991 | Guided Solutions Therapy, LLC | Counselor | 126 W Holum St, Deforest, WI 53532-1108 | 2020-09-21 |
| 1396359337 | Sarah Luetzow Marten | Counselor | 6441 Enterprise Ln Ste 101, Madison, WI 53719-1180 | 2020-09-08 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1518580182 | Michele Denise Perron | Counselor | 912 Baxter Ave, Superior, WI 54880-1735 | 2020-05-18 |
| 1003438391 | Kimberly Rose Schlomann | Counselor | W227s10580 River Ave, Big Bend, WI 53103-9563 | 2020-05-10 |
| 1477174381 | Sarah Ross | Counselor | 302 West Lake St., Friendship, WI 55934 | 2020-05-01 |
| 1124657721 | Joanne Berthelsen Lcsw LLC | Counselor | 830 Armour Rd Ste 2, Oconomowoc, WI 53066-3959 | 2020-04-06 |
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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.