NOVA COUNSELING SERVICES INC. (NPI# 1386789535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386789535 |
Entity Type | Organization |
Organization Name | NOVA COUNSELING SERVICES INC. |
Practice Address |
3240 Jackson St Oshkosh WI 54901-1208 |
Practice Telephone | 9202310143 |
Practice Fax Number | 9202314246 |
Mailing Telephone | 9202310143 |
Mailing Fax Number | 9202314246 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARCIA LARSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9202310143 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 1710 | WI | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
Street Address |
3240 JACKSON ST |
City | OSHKOSH |
State | WI |
Zip Code | 54901-1208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366926362 | Sage Stiebs-mathewson | Counselor | 3240 Jackson St, Oshkosh, WI 54901-1208 | 2018-09-17 |
1811414006 | Kari Ellen Meyer | Counselor | 3240 Jackson St, Oshkosh, WI 54901-1208 | 2017-08-28 |
1437608551 | Megan Millot | Counselor | 3240 Jackson St, Oshkosh, WI 54901-1208 | 2016-09-30 |
1336693662 | Hadley Olson | Counselor | 3240 Jackson St, Oshkosh, WI 54901-1208 | 2016-08-03 |
1720355811 | Anne Skrupky | Counselor | 3240 Jackson St, Oshkosh, WI 54901-1208 | 2011-11-17 |
1679744759 | Linda Lou Fischer | Counselor | 3240 Jackson St, Oshkosh, WI 54901 | 2008-03-18 |
1932379039 | Michael Edward Weldon | Counselor | 3240 Jackson St, Oshkosh, WI 54901 | 2008-03-04 |
1447420641 | Thomas C Becker | Counselor | 3240 Jackson St, Oshkosh, WI 54901 | 2008-03-04 |
1962671693 | Bernadette Lucille Jannusch | Counselor | 3240 Jackson St, Oshkosh, WI 54901 | 2008-02-27 |
1316116064 | Sarah Paige Bassing | Counselor | 3240 Jackson St, Oshkosh, WI 54901 | 2008-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
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Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
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1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
1215375472 | Hope Haven | Substance Abuse Rehabilitation Facility | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-06-10 |
1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
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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.