MARK W JUERGENS (NPI# 1376509588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376509588 |
| Entity Type | Individual |
| Full Name | MARK W JUERGENS |
| Other Name | MARK W JUERGENS |
| Credential | LCSW LPC |
| Practice Address |
4330 Golf Ter Suite 214 Eau Claire WI 54701-4683 |
| Practice Telephone | 7158332121 |
| Practice Fax Number | 7158332131 |
| Mailing Telephone | 7158332121 |
| Mailing Fax Number | 7158332131 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2013-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1839125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA UBH UHC | 6250399 | 01 |
| WI | SECURITY HEALTH PLAN | 95846 | 01 |
| MN | BCBS MN | 574 | 01 |
| MN | HEALTH PARTNERS | HP52029 | 01 |
| WI | 40986200 | 05 |
| Street Address |
4330 GOLF TER SUITE 214 |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150003 | Victoria Beryl Oliversen | Behavioral Analyst | 4330 Golf Ter, Eau Claire, WI 54701-4683 | 2018-10-15 |
| 1467874990 | Mickey Crothers, Ph.d., LLC | Counselor | 4330 Golf Ter, Suite 213-m, Eau Claire, WI 54701-4683 | 2014-01-17 |
| 1073849055 | Kay Sopinski Peterson | Massage Therapist | 4330 Golf Ter, Suite 209, Eau Claire, WI 54701-4683 | 2009-10-26 |
| 1427280882 | Stephanie Kay Peterson | Massage Therapist | 4330 Golf Ter, Suite 209, Eau Claire, WI 54701-4683 | 2009-08-19 |
| 1942452644 | Jane Ellen Linton | Marriage & Family Therapist | 4330 Golf Ter, Suite 212, Eau Claire, WI 54701-4683 | 2008-10-14 |
| 1760601736 | Christie Tanner | Psychologist | 4330 Golf Ter, Suite 203, Eau Claire, WI 54701-4683 | 2007-04-25 |
| 1861562373 | Nancy K Hoover | Counselor | 4330 Golf Ter, Eau Claire, WI 54701-4683 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884063 | Keesha Mckee | Counselor | 7450 Hochberger Road, Eau Claire, MI 49111 | 2019-07-30 |
| 1033693312 | Leslie J Cole | Counselor | 3610 Oakwood Mall Dr Ste 104, Eau Claire, WI 54701-9084 | 2018-09-21 |
| 1982118550 | Amy Des Forge | Counselor | 3132 Orange St, Eau Claire, WI 54701-8137 | 2017-11-18 |
| 1194133470 | Jennifer L Van Sleet | Counselor | 2620 Stein Blvd Ste B, Eau Claire, WI 54701-2674 | 2014-07-30 |
| 1144565284 | Leeann Rochelle Gumulauskas | Counselor | 505 S Dewey St Ste 208, Eau Claire, WI 54701-3781 | 2012-11-29 |
| 1053682047 | Amy E Sexton | Counselor | 4714 Commerce Valley Rd Ste B, Eau Claire, WI 54701-9033 | 2012-01-23 |
| 1932263472 | Roberta Ellen Swain | Counselor | W3024 Rim Rock Rd, Eau Claire, WI 54701-8631 | 2006-12-20 |
| 1669544649 | Jeni Lyn Gronemus | Counselor | 2925 Mondovi Rd, Eau Claire, WI 54701-6141 | 2006-11-14 |
| 1689745473 | Darryl L Christianson | Counselor | 221 W Madison St, Eau Claire, WI 54703 | 2006-11-13 |
| 1902812753 | Philip A Koestler | Counselor | 3119 Golf Rd, Eau Claire, WI 54701-7006 | 2006-08-01 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on MARK W JUERGENS.
| 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.