MRS. MICHELLE L MICHENER (NPI# 1336210764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336210764 |
Entity Type | Individual |
Full Name | MRS. MICHELLE L MICHENER |
Other Name | MICHELLE BAKER |
Credential | LPC |
Practice Address |
1370 S Commercial St Neenah WI 54956-4636 |
Mailing Address |
N433 Mapleridge Dr Appleton WI 54915-8754 |
Practice Telephone | 9202686940 |
Mailing Telephone | 9202686940 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 4816-125 | WI | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | 740-226 | WI | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
4816-125 | Behavioral Health & Social Service Providers | |
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 532091220 | 4145402170 | 4144341824 |
600 Elm St, Neenah, WI 549563378 | 9202686940 |
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 |
1285162016 | Mending Minds Counseling and Wellness LLC | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2017-05-24 |
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 |
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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 |
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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 |
---|---|---|---|---|
1205960077 | Laurie A. Knutzen | Counselor | 40 Jewelers Park Dr, Ste 100, Neenah, WI 54956-3893 | 2007-03-15 |
1245830926 | Rachel Blackburn | Counselor | 1370 S Commercial St, Neenah, WI 54956-4636 | 2020-10-30 |
1578710547 | Penelope A Redlich-stroik | Counselor | 211 N Commercial St, Neenah, WI 54956-2678 | 2008-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
1225646219 | Kaitlyn Schobert | Counselor | 6225 N Lake Dr, Whitefish Bay, WI 53217-4341 | 2020-07-16 |
1306464268 | Jennah E Benson | Counselor | 1 S Main Street, Janesville, WI 53545-3977 | 2020-07-08 |
1730704115 | Tanya Scheidegger | Counselor | 101 W Broadway # 2, Waukesha, WI 53186-4833 | 2020-06-11 |
1336762996 | Monica Lillian Cummings | Counselor | 7751 5th Ave, Kenosha, WI 53143-6006 | 2020-05-18 |
1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
1053930867 | Jennifer Betters-bubon | Counselor | 127 E Prospect St, Stoughton, WI 53589-1650 | 2020-04-11 |
1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
1912537333 | Jody Lee Erlicher | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-01-24 |
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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.