PINE COUNSELING INC. (NPI# 1366004384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366004384 |
| Entity Type | Organization |
| Organization Name | PINE COUNSELING INC. |
| Practice Address |
204 S Orange St Richland Center WI 53581-2170 |
| Practice Telephone | 9319824832 |
| Practice Fax Number | 6083831480 |
| Mailing Telephone | 9319824832 |
| Mailing Fax Number | 6083831480 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-12-08 |
| Authorized Official Name | ELIJAH LAKE KRAMER (BOARD MEMBER) |
| Authorized Official Telephone | 9202850453 |
| Authorized Official Credential | SAC-IT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1184006652 | 05 |
| Street Address |
204 S ORANGE ST |
| City | RICHLAND CENTER |
| State | WI |
| Zip Code | 53581-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351272 | Jennifer Ann Skemp | Social Worker | 204 S Orange St, Richland Center, WI 53581-2170 | 2019-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687542 | Danielle Lea Spencer | Occupational Therapy Assistant | 25881 Severson Street, Richland Center, WI 53581 | 2018-01-26 |
| 1396997953 | Bonnie Lou Peer | Licensed Practical Nurse | 24096 County Hwy 2, Richland Center, WI 53581 | 2008-10-15 |
| 1225286081 | Lori Knapp Richland, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1140 Sextonville Road #5, Richland Center, WI 53581 | 2008-09-05 |
| 1881868768 | Patrick M Murphy | Chiropractor | 875 N Orange St, Richland Center, WI 53581 | 2008-04-22 |
| 1588838502 | Michael Joseph Pelsoh | Pharmacist | Richland Hospital 333 E 2nd St, Richland Center, WI 53581 | 2008-04-22 |
| 1902087653 | Patricia Ann Behn | Occupational Therapist | 222 Seminary St, Richland Center, WI 53581 | 2007-11-23 |
| 1386833390 | Kyle J Berra | Specialist/Technologist | 333 E. Second St, Richland Center, WI 53581 | 2007-10-16 |
| 1487871653 | Daniel George Basarich | Dentist | 175 E Mill Street, Richland Center, WI 53581 | 2007-04-19 |
| 1851517312 | Bruce Todd Vermilyea | Dentist | 175 E Mill Str, Richland Center, WI 53581 | 2007-04-17 |
| 1144394735 | Debra Lynn Goplen | Licensed Practical Nurse | 24096 Hwy Z, Richland Center, WI 53581 | 2006-11-17 |
| Find all providers in zip 53581 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760504 | Family Resources | Clinic/Center | 165 N Central Ave, Suite 302, Richland Center, WI 53581-2253 | 2008-05-12 |
| 1306069398 | Community Service Associates Sc | Clinic/Center | 23295 Us Hwy 14, Richland Center, WI 53581-8911 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | RICHLAND CENTER |
| Zip Code | 53581 |
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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.