KRISTEN L VESBACH (NPI# 1336416635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336416635 |
| Entity Type | Individual |
| Full Name | KRISTEN L VESBACH |
| Credential | MS, LPC, ATR-L |
| Practice Address |
2976 Triverton Pike Dr Suite 119 Fitchburg WI 53711-5840 |
| Mailing Address |
6692 Fairway Cir Windsor WI 53598-9740 |
| Practice Telephone | 2627196569 |
| Practice Fax Number | 6082861088 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2015-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
97-36 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5219-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1336416635 | 05 |
| Street Address |
2976 TRIVERTON PIKE DR SUITE 119 |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-5840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104208313 | Gerald Thomas | Psychologist | 2976 Triverton Pike Dr, Fitchburg, WI 53711-5840 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1427422922 | Noam Gordon | Counselor | 5733 Restal St, Fitchburg, WI 53711-5238 | 2015-11-20 |
| 1124431390 | Jessica Marie-lynch Abegglen | Counselor | 3028 Edenberry St, Fitchburg, WI 53711-6953 | 2014-06-05 |
| 1568529535 | Sarah Lyn Cameron | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2007-01-02 |
| 1164038741 | Yelk Counseling, LLC | Counselor | 2916 Marketplace Dr, Fitchburg, WI 53719-5325 | 2020-09-19 |
| 1073956405 | Lisa Nj Hoeme | Counselor | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 | 2013-04-16 |
| 1023380748 | Shawn Mcguirk | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2012-01-27 |
| 1316231632 | Jody Elliott | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2011-06-03 |
| 1134427792 | Lisa St. Pierre | Counselor | 545 Westminster St, Fitchburg, MA 01420-4727 | 2011-03-07 |
| 1750438206 | Arlene M Duffy | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2007-01-05 |
| Find all providers in FITCHBURG | ||||
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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.