DALE M KOLSTAD (NPI# 1427016955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427016955 |
| Entity Type | Individual |
| Full Name | DALE M KOLSTAD |
| Credential | LCSW |
| Practice Address |
200 E La Crosse St Juneau County Human Services Mauston WI 53948-2101 |
| Practice Telephone | 6088472400 |
| Practice Fax Number | 6088479599 |
| Mailing Telephone | 6088472400 |
| Mailing Fax Number | 6088479599 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YP2500X |
Counselor Specialization: Professional |
1016125 | WI | Behavioral Health & Social Service Providers |
| X | 104100000X | Social Worker | 4042123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39218500 | 05 |
| Street Address |
200 E LA CROSSE ST JUNEAU COUNTY HUMAN SERVICES |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891752044 | Traci Lynn Elvert | Social Worker | 200 E La Crosse St, Juneau County Human Services, Mauston, WI 53948-2101 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| Find all providers in zip 53948 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897045 | David L Rung | Counselor | 220 E. La Crosse St, Juneau County Human Services, Mauston, WI 53948-2101 | 2010-03-15 |
| 1174601389 | Margaret A. Dennison | Counselor | 102 W State St, Mauston, WI 53948-1354 | 2006-11-02 |
| 1023669108 | Christina Renee Mcginn | Counselor | 124 Grayside Ave, Mauston, WI 53948-1913 | 2019-09-20 |
| 1265801641 | Staci M Glynn | Counselor | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2015-09-16 |
| 1265800817 | Danielle J Moore | Counselor | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2015-09-11 |
| 1780068171 | Sarah E Kasten | Counselor | 220 E La Crosse St, Juneau County Human Services, Mauston, WI 53948-2101 | 2015-07-15 |
| 1952701492 | Amanda M Negaard | Counselor | 220 E La Crosse St, Juneau County Human Services, Mauston, WI 53948-2101 | 2014-09-03 |
| 1326456781 | Christine A Mccasey | Counselor | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2014-07-30 |
| 1720403082 | Larry L Walls | Counselor | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.