JODI HAGE (NPI# 1306489695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306489695 |
| Entity Type | Individual |
| Full Name | JODI HAGE |
| Credential | APSW |
| Practice Address |
5601 W Grande Market Dr Ste N Appleton WI 54913-8511 |
| Practice Telephone | 9209031060 |
| Mailing Telephone | 9209031060 |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2019-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 129879-121 | WI | Behavioral Health & Social Service Providers |
| Street Address |
5601 W GRANDE MARKET DR STE N |
| City | APPLETON |
| State | WI |
| Zip Code | 54913-8511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563030 | Nhia Moua | Counselor | 5601 W Grande Market Dr Ste N, Appleton, WI 54913-8511 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994584 | Pamela J Andersen | Music Therapist | 245 N. Metro Drive, Appleton, WI 54913 | 2019-10-22 |
| 1396387510 | Nancy Sibley | Technician | N4423 County Road Ee, Appleton, WI 54913 | 2019-10-09 |
| 1659872240 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3801 N. Richmond Street, Grand Chute, WI 54913 | 2018-02-28 |
| 1780116244 | Alison Pelger | Physician Assistant | 3916 North Intertech Court, Appleton, WI 54913 | 2017-04-03 |
| 1316311905 | Lucy Bouressa | Specialist/Technologist | 2105 E. Enterprise Ave, 113, Appleton, WI 54913 | 2015-11-19 |
| 1992189989 | Brittany Reinke | Physical Therapist | Walking and Wheeling, LLC, W4652 Glenn Street, Appleton, WI 54913 | 2015-07-20 |
| 1902280092 | Costco Wholesale Corporation | Pharmacy | 5401 W Integrity Way, Grand Chute, WI 54913 | 2015-07-17 |
| 1942646849 | Richard Anthony Mauthe | Pharmacist | 5401 W. Integrity Way, Neenah, WI 54913 | 2013-05-17 |
| 1750622163 | Tonya Janelle Wilderman | Pharmacist | 1400 N Mccarthy Rd, Apt 2, Grand Chute, WI 54913 | 2013-03-10 |
| 1295938777 | Jenna Marie Kadlec | Physical Therapist | 3916 N. Intertech Court, Appleton, WI 54913 | 2007-06-11 |
| Find all providers in zip 54913 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851520407 | Jacqueline Marie Anderson | Counselor | 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 | 2009-07-03 |
| 1639246382 | Dorothy A Fonstad | Counselor | 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 | 2006-11-29 |
| 1821611591 | Satia Kavanaugh Vanderloop | Counselor | 2031 E Calumet St, Appleton, WI 54915-4742 | 2020-05-28 |
| 1760014336 | Catherine Elizabeth Ventura | Counselor | 245 N Metro Dr, Appleton, WI 54913-8572 | 2020-02-11 |
| 1790337178 | Melissa Lynette Wheeler | Counselor | 3301 N Ballard Rd, Appleton, WI 54911-8928 | 2019-07-15 |
| 1811456874 | Kelli Waldron | Counselor | 412 E Longview Dr Ste C, Appleton, WI 54911-2168 | 2019-03-18 |
| 1740796390 | Chloe J Kierszh | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-12-19 |
| 1750891057 | Melissa A Chambers | Counselor | 3962 N Richmond St, Appleton, WI 54913-7153 | 2017-10-02 |
| 1073032181 | Lois J Johnson | Counselor | 444 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-09-11 |
| 1144679465 | Debra Kline | Counselor | 3003 N Richmond St, Appleton, WI 54911-1148 | 2016-06-07 |
| Find all providers in APPLETON | ||||
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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.