MENDING MINDS COUNSELING AND WELLNESS LLC (NPI# 1285162016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285162016 |
| Entity Type | Organization |
| Organization Name | MENDING MINDS COUNSELING AND WELLNESS LLC |
| Practice Address |
1370 S Commercial St Neenah WI 54956-4636 |
| Mailing Address |
3155 Hayward Ave Oshkosh WI 54904-7446 |
| Practice Telephone | 9204203188 |
| Mailing Telephone | 9204203188 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | SHARON A HANSEN (BEHAVIORAL HEALTH COUNSELOR) |
| Authorized Official Telephone | 9204203188 |
| Authorized Official Credential | MSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YS0200X |
Counselor Specialization: School |
34629 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2937-226 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100055261 | 05 |
| Street Address |
1370 S COMMERCIAL ST |
| City | NEENAH |
| State | WI |
| Zip Code | 54956-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710944962 | Judith Ann Rogers | Social Worker | 1370 S Commercial St, Reach Counseling Services, Neenah, WI 54956-4636 | 2006-04-28 |
| 1245830926 | Rachel Blackburn | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2020-10-30 |
| 1003385840 | Rebecca Marie Aldag | Nutritionist | 1370 S Commercial St, Neenah, WI 54956-4636 | 2018-11-22 |
| 1508390469 | Jsr Therapeutic Consulting | Community/Behavioral Health | 1370 S Commercial St, Neenah, WI 54956-4636 | 2017-04-18 |
| 1427597889 | Sharon A Hansen | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2017-02-17 |
| 1952653214 | Andrea La Barre | Counselor | 1370 S Commercial St, Neenah, WI 54956 | 2012-10-11 |
| 1851673297 | Debra Johnston Larson | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2011-09-12 |
| 1972830032 | Alyssa Marie O'brien | Chiropractor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2009-11-11 |
| 1699802504 | Gail Rabe | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2007-02-27 |
| 1336210764 | Michelle L Michener | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447768411 | Wisconsin Institute of Surgical Excellence LLC | Clinic/Center | 1265 W American Dr Ste 200, Neenah, WI 54956 | 2018-01-12 |
| 1639614290 | Clinton Robert Murchland | Pharmacist | 828 Fox Point Plaza, Pharmacy, Neenah, WI 54956 | 2017-01-05 |
| 1629448550 | Melissa Christine Hewitt | Physical Therapy Assistant | 1119 Higgins Ave, Neenah, WI 54956 | 2015-10-05 |
| 1437581923 | Ross Phan | Pharmacist | 1432 Seymour Crt, Neenah, WI 54956 | 2013-08-06 |
| 1518201318 | Meridith Nealy Starling | Social Worker | 124 W Wisconsin Ave, Suite 90 B, Neenah, WI 54956 | 2012-11-16 |
| 1639464886 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 S. Green Bay Rd, Neenah, WI 54956 | 2011-06-16 |
| 1669701439 | Donna Jean Falk | Licensed Practical Nurse | 1037 B Hunt Ave, Neenah, WI 54956 | 2009-12-08 |
| 1285868257 | Angela Marie Bilbrey | Dietitian, Registered | 307 S Commercial St Ste 101, Neenah, WI 54956 | 2009-05-06 |
| 1003083114 | A B See Vision Therapy Centers Sc | Optometrist | 1401 Mcmahon Dr., Suite 100, Neenah, WI 54956 | 2008-05-08 |
| 1629244173 | Tamra Marie Knutson | Radiology | 333 N Commercial St #100, Neenah, WI 54956 | 2008-05-05 |
| Find all providers in zip 54956 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265852727 | Jean Meissner | Counselor | 1021 Green Acres Ln, Neenah, WI 54956-3924 | 2014-04-23 |
| 1922142355 | Kathleen Kim Thome | Counselor | 40 Jewelers Park Dr Ste 200, Neenah, WI 54956-3893 | 2007-02-18 |
| 1861592842 | Reach Counseling Services, Inc. | Counselor | 1509 S Commercial St, Neenah, WI 54956-6152 | 2006-09-22 |
| 1912553413 | Caylee Vos | Counselor | 1509 S Commercial St, Neenah, WI 54956-6152 | 2019-08-12 |
| 1124586920 | Heidi Paessler | Counselor | 1509 S Commercial St, Neenah, WI 54956-6152 | 2019-03-11 |
| 1215401468 | Lk Anderson Consulting LLC | Counselor | 145 W Wisconsin Ave, Neenah, WI 54956-3075 | 2019-01-21 |
| 1316417330 | Brittany Johnson | Counselor | 211 N Commercial St, Neenah, WI 54956-2678 | 2018-12-03 |
| 1821539933 | Kadihjia S Kelly | Counselor | 1509 S Commercial St, Neenah, WI 54956-6152 | 2017-03-09 |
| 1487023040 | Danielle Zarling | Counselor | 40 Jewelers Park Dr, Suite 200, Neenah, WI 54956-3893 | 2015-09-24 |
| 1982005880 | Lisa Anderson | Counselor | 145 W Wisconsin Ave, Neenah, WI 54956-3075 | 2014-09-10 |
| Find all providers in NEENAH | ||||
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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.