GRETCHEN J. GILL (NPI# 1386975100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386975100 |
| Entity Type | Individual |
| Full Name | GRETCHEN J. GILL |
| Credential | PH.D. |
| Practice Address |
6310 N Port Washington Rd Glendale WI 53217-4300 |
| Mailing Address |
5891 Fulham Ct Greendale WI 53129-2133 |
| Practice Telephone | 4149611600 |
| Practice Fax Number | 4149611616 |
| Mailing Telephone | 4147938273 |
| Mailing Fax Number | 4148550402 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6310 N PORT WASHINGTON RD |
| City | GLENDALE |
| State | WI |
| Zip Code | 53217-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063464436 | Fannie M. Leflore | Counselor | 6310 N Port Washington Rd, Office Space Inside R.e.a.c.h. Clinic, Glendale, WI 53217-4300 | 2006-05-16 |
| 1770834467 | Interdenominational Church of Christian Love, Inc | Home Health | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2012-09-21 |
| 1023337706 | Frances B Pitt | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2010-05-20 |
| 1578891107 | Candice Lynn Lipski | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2009-11-19 |
| 1144555152 | R.e.a.c.h. Inc. Comprehensive Mental Health Clinic | Community/Behavioral Health | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2009-10-08 |
| 1740373430 | Kurth Chiropractic, Sc | Chiropractor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-10-02 |
| 1154414829 | Brian Kurth | Chiropractor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-10-02 |
| 1225139884 | Khyana K Pumphrey | Counselor | 6310 N Port Washington Rd, Glendale, WI 53217-4300 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1407338379 | Henry Marshal Tyler | Counselor | 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 | 2018-09-06 |
| 1346737111 | Janet Ohanian | Counselor | 915 N Glendale Ave, Glendale, CA 91206-2130 | 2018-04-17 |
| 1881193175 | Robin Lynn Puckett | Counselor | 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 | 2018-02-01 |
| 1538667142 | Chelsea Rae Zendarski | Counselor | 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 | 2018-01-29 |
| 1487165031 | Sofia Elvira Philips | Counselor | 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 | 2017-10-21 |
| 1417301086 | Kristi Proch | Counselor | 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 | 2016-04-20 |
| 1831557065 | Arnitta Holliman | Counselor | 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 | 2016-02-02 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on GRETCHEN J. GILL.
| 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.