HEATHER H DOUGLAS (NPI# 1265714992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265714992 |
| Entity Type | Individual |
| Full Name | HEATHER H DOUGLAS |
| Credential | MS, CTRS,LPC |
| Practice Address |
6502 Grand Teton Plz Suite 203 Madison WI 53719-1047 |
| Mailing Address |
4410 Mineral Point Rd Madison WI 53705-5045 |
| Practice Telephone | 6088277220 |
| Mailing Telephone | 6083584977 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
475-226 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356815104 | Heather Douglas | Acupuncturist | 401 23rd St Ste 104b, Glenwood Springs, CO 81601-4363 | 2019-01-15 |
| 1891861431 | Heather L Douglas | Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2442 | 2006-11-27 |
| 1972011070 | Heather Douglas | Early Intervention Provider Agency | 15 South St, Hudson, MA 01749-2205 | 2018-01-11 |
| 1811416951 | Heather Michaela Douglas | Physician Assistant | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2017-09-10 |
| 1558708339 | Heather Douglas | Psychiatry & Neurology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-06-03 |
| 1114134418 | Heather L Douglas | Social Worker | 200 Eastern Ave Se, Grand Rapids, MI 49503-4735 | 2007-05-17 |
| Street Address |
6502 GRAND TETON PLZ SUITE 203 |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023114121 | Cathy A. Propper | Psychologist | 6502 Grand Teton Plz, 206, Madison, WI 53719-1047 | 2006-09-15 |
| 1831607001 | Sally A Jackson | Social Worker | 6502 Grand Teton Plz, Madison, WI 53719-1047 | 2018-01-22 |
| 1710423108 | Crystal Sheehy | Marriage & Family Therapist | 6502 Grand Teton Plz, Suite 204, Madison, WI 53719-1047 | 2017-01-10 |
| 1366869612 | Petrovnia Fernande Mcintosh | Social Worker | 6502 Grand Teton Plz, Suite 102, Madison, WI 53719-1047 | 2014-03-25 |
| 1861733032 | Natalie Jean Duhr | Marriage & Family Therapist | 6502 Grand Teton Plz, Madison, WI 53719-1047 | 2013-03-12 |
| 1699081109 | Evergreen Counseling Services, LLC | Clinic/Center | 6502 Grand Teton Plz, Madison, WI 53719-1047 | 2010-08-20 |
| 1457683252 | Anne Olivia Mesich | Counselor | 6502 Grand Teton Plz, Madison, WI 53719-1047 | 2010-02-03 |
| 1245569730 | Sandrea Voeller | Radiologic Technologist | 6502 Grand Teton Plz, Suite 105, Madison, WI 53719-1047 | 2009-12-14 |
| 1568594372 | Tami Ra Bahr | Counselor | 6502 Grand Teton Plz, Suite 102, Madison, WI 53719 | 2007-03-09 |
| 1477684801 | Patrick Francis Nichols | Social Worker | 6502 Grand Teton Plz, Madison, WI 53719-1047 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578770 | Sunshine Holstein | Counselor | 467 Main St Fl 4, Madison, WV 25130-2200 | 2020-11-05 |
| 1619589538 | Pamela Peoples | Counselor | 1888 Main St Ste C-189, Madison, MS 39110-6337 | 2020-08-21 |
| 1487278404 | Gillian Vandien | Counselor | 2701 International Ln Ste 205, Madison, WI 53704-3126 | 2020-06-05 |
| 1134740210 | Amy C Nicholson | Counselor | 720 Hill St Ste 230, Madison, WI 53705-3539 | 2020-04-30 |
| 1902435308 | Jeffrey Joseph Bopp | Counselor | 518 Diving Hawk Trl, Madison, WI 53713-3380 | 2020-04-07 |
| 1881222313 | Christopher Gabriel Krell | Counselor | 133 Se Macon St, Madison, FL 32340-2986 | 2020-03-30 |
| 1174153381 | Kristine Fernerud | Counselor | 77 Legend Hill Rd, Madison, CT 06443-1877 | 2020-01-16 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1124661996 | Lillian A Carroll | Counselor | 502 Pflaum Rd, Madison, WI 53716-2163 | 2019-10-23 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| Find all providers in MADISON | ||||
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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.