MS. SUZANNE KORDAS (NPI# 1295104297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295104297 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE KORDAS |
| Credential | LPC-IT |
| Practice Address |
8878 Orchard Valley Rd West Bend WI 53090-9032 |
| Practice Telephone | 2622475501 |
| Practice Fax Number | 2626929182 |
| Mailing Telephone | 2622475501 |
| Mailing Fax Number | 2626929182 |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2592-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
8878 ORCHARD VALLEY RD |
| City | WEST BEND |
| State | WI |
| Zip Code | 53090-9032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1558746990 | Kristi Sheffield | Specialist/Technologist | 3235 Dubin Circle, West Bend, WI 53090 | 2015-07-28 |
| 1508110420 | Vicky Ellen Patten | Occupational Therapy Assistant | 2124 Northwestern Avenue, West Bend, WI 53090 | 2012-10-30 |
| 1801142732 | Andrew Russell Bordeaux | Speech-Language Pathologist | 1624 Barton Ave, West Bend, WI 53090 | 2012-07-30 |
| 1104150549 | Mary Davis | Registered Nurse | 6660 Eastwood Court, West Bend, WI 53090 | 2009-10-01 |
| 1457492282 | Barton Dental Clinic Sc | Dentist | 1542 Barton Ave, West Bend, WI 53090 | 2007-02-12 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1184760894 | Christopher Allan Buck | Dentist | 1713 N Main Street, West Bend, WI 53090 | 2007-01-29 |
| 1669556601 | Michelle Lee Mccormack | Chiropractor | 519 Shepherds Drive, West Bend, WI 53090 | 2006-10-25 |
| 1831298215 | Sara E Rehring | Social Worker | 400 W River Drive, West Bend, WI 53090 | 2006-09-21 |
| Find all providers in zip 53090 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891286043 | Rebekah Lynn Wolff | Counselor | 400 W River Road, West Bend, WI 53090 | 2018-05-23 |
| 1700151636 | Christina M Lachner | Counselor | 125 N 6th Ave, Suite 201, West Bend, WI 53095-3394 | 2012-03-10 |
| 1720361140 | Lester Menke | Counselor | 625 Westridge Dr Apt 11, West Bend, WI 53095-3638 | 2011-09-21 |
| 1285885947 | Nancy Jean Parker | Counselor | 126a E Washington St, West Bend, WI 53095-2578 | 2008-09-30 |
| 1881714681 | Erika M Bublitz | Counselor | 215 N Main St Ste 204, West Bend, WI 53095-3347 | 2007-03-29 |
| 1821136037 | Lisa A Tieglman Koepp | Counselor | 1615 Barton Avenue, Northshore Clinic & Consultants Inc, West Bend, WI 53090 | 2007-02-01 |
| 1255484564 | Linda J Kirk | Counselor | 215 N Main St Ste 201, West Bend, WI 53095-3337 | 2007-01-19 |
| 1275148736 | Sherzing Moua | Counselor | 724 Elm St, West Bend, WI 53095-3205 | 2020-09-11 |
| 1710538871 | Paige Lorraine Flanagan | Counselor | 1622 Chestnut St, West Bend, WI 53095-3014 | 2019-09-20 |
| 1376015701 | Craig A Groskreutz | Counselor | 111 E Washington St, West Bend, WI 53095-2571 | 2018-12-25 |
| Find all providers in WEST BEND | ||||
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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.