IMPACT COUNSELING SERVICES, LLC (NPI# 1417121666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417121666 |
| Entity Type | Organization |
| Organization Name | IMPACT COUNSELING SERVICES, LLC |
| Practice Address |
158 S Anderson St Rhinelander WI 54501-3447 |
| Mailing Address |
15655 Co Hwy B Po Box 13251 Hayward WI 54843 |
| Practice Telephone | 7153626390 |
| Mailing Telephone | 7156340607 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | RENEE M MILLWOOD (DIRECTOR) |
| Authorized Official Telephone | 7156340607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
43005300 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43006000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689812422 | Impact Counseling Services, LLC | Clinic/Center | 306 State Highway 70 E, Saint Germain, WI 54558-8800 | 2009-02-02 |
| 1467626606 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Suite 1, Ashland, WI 54806-1667 | 2008-04-18 |
| 1346419082 | Impact Counseling Services, LLC | Clinic/Center | 15655 County Road B, Hayward, WI 54843-3251 | 2008-02-27 |
| 1578973848 | Impact Counseling Services, LLC | Community/Behavioral Health | 413 N. Montgomery Street, Hollidaysburg, PA 16648 | 2014-05-07 |
| 1740425941 | Impact Counseling Services, LLC | Clinic/Center | 17a W Davenport St, Rhinelander, WI 54501-0742 | 2008-12-03 |
| 1326212572 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Ashland, WI 54806-1667 | 2008-04-18 |
| 1437323680 | Impact Counseling Services, LLC | Clinic/Center | 15655 County Road B, Hayward, WI 54843-3251 | 2008-04-18 |
| 1770757924 | Impact Counseling Services, LLC | Clinic/Center | 158 S Anderson St, Rhinelander, WI 54501-0158 | 2008-04-18 |
| Street Address |
158 S ANDERSON ST |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780731745 | Loraine Katherine Decker | Marriage & Family Therapist | 158 S Anderson St, Rhinelander, WI 54501-3447 | 2007-01-04 |
| 1063055275 | Anna Lyon | Counselor | 158 S Anderson St, Rhinelander, WI 54501-3446 | 2019-10-21 |
| 1649728387 | Melissa Glass | Counselor | 158 S Anderson St, Suite 1, Rhinelander, WI 54501-3447 | 2016-09-12 |
| 1962852236 | Theresa Marvin | Registered Nurse | 158 S Anderson St, Suite 1, Rhinelander, WI 54501-3447 | 2016-06-17 |
| 1073970380 | Nicole Olejniczak | Marriage & Family Therapist | 158 S Anderson St, Suite 1, Rhinelander, WI 54501-3447 | 2016-01-19 |
| 1730559246 | Erik Christenson | Counselor | 158 S Anderson St, Suite 3, Rhinelander, WI 54501-3447 | 2015-09-28 |
| 1205220001 | Kimberly Haas | Counselor | 158 S Anderson St, Suite 3, Rhinelander, WI 54501-3447 | 2015-03-19 |
| 1588057244 | Aaron Mielke | Counselor | 158 S Anderson St, Suite 3, Rhinelander, WI 54501-3447 | 2015-03-05 |
| 1619379120 | Cristin Opall | Counselor | 158 S Anderson St, Suite 3, Rhinelander, WI 54501-3447 | 2014-09-16 |
| 1659619310 | Counseling and Psychological Services, LLC | Clinic/Center | 158 S Anderson St, Rhinelander, WI 54501-3447 | 2013-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801308218 | Northwest Counseling & Guidance Clinic | Clinic/Center | 915 Acacia Ln, Rhinelander, WI 54501-2806 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754167 | Asap-behavioral Health, Sc | Clinic/Center | 11380 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
| 1003375049 | Sj Counseling Services, LLC | Clinic/Center | 7726 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-19 |
| 1295224657 | Northwest Counseling & Guidance Clinic | Clinic/Center | 123 S Van Buren, Green Bay, WI 54301-4441 | 2018-05-01 |
| 1790143667 | Northwest Counseling & Guidance Clinic | Clinic/Center | 1201 North 28th Street, Northwest Journey - Northern Lights, Superior, WI 54880-8556 | 2016-02-05 |
| 1417334988 | Willow Creek Ranch, Inc. | Clinic/Center | 7404 Northwest Hwy # 83, Mukwonago, WI 53149-8903 | 2015-05-04 |
| 1770985467 | Northwest Counseling & Guidance Clinic | Clinic/Center | 16092 Highway 63, Hayward, WI 54843-9775 | 2014-09-24 |
| 1700018389 | Saris Counseling LLC | Clinic/Center | 3416 Association Dr, Appleton, WI 54914 | 2009-08-17 |
| 1467626606 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Suite 1, Ashland, WI 54806-1667 | 2008-04-18 |
| 1891976478 | Future Thoughts | Clinic/Center | 2623 N 53rd St, Milwaukee, WI 53210-2326 | 2007-11-24 |
| 1982821575 | Northwest Counseling and Guidance - Northwest Journey - Superior | Clinic/Center | 1419 Hill Ave Ste B, Superior, WI 54880-1951 | 2007-04-18 |
| Find all providers with the same taxonomy | ||||
| City | RHINELANDER |
| Zip Code | 54501 |
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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.