DEROSE FAMILY COUNSELING, LLC. (NPI# 1437423563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437423563 |
| Entity Type | Organization |
| Organization Name | DEROSE FAMILY COUNSELING, LLC. |
| Practice Address |
316 5th St Suite 1 Racine WI 53403-4606 |
| Practice Telephone | 2626331235 |
| Practice Fax Number | 2626331236 |
| Mailing Telephone | 2626331235 |
| Mailing Fax Number | 2626331236 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | TALIA DEROSE (CERTIFIED PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2626331235 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2958 | WI | Agencies |
| Street Address |
316 5TH ST SUITE 1 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417183989 | Talia Catherine Derose | Counselor | 316 5th St, Suite 1, Racine, WI 53403-4606 | 2009-06-10 |
| 1740304039 | Francesca Derose | Dentist | 316 5th St, Racine, WI 53403-4606 | 2007-03-19 |
| 1194892166 | Nicolet Derose | Dentist | 316 5th St, Racine, WI 53403-4606 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169522 | Hopes Center | Community/Behavioral Health | 521 6th St, Racine, WI 53403-1117 | 2015-07-10 |
| 1366858292 | Asd Impact Inc | Community/Behavioral Health | 6601 Washington Ave, Racine, WI 53406-3923 | 2014-07-11 |
| 1477894244 | Entrusted Counseling Services, LLC | Community/Behavioral Health | 2317 Webster St, Racine, WI 53403-3056 | 2013-03-04 |
| 1891030748 | Hopes Center of Racine, Inc. | Community/Behavioral Health | 506 7th St, Racine, WI 53403-1128 | 2012-12-04 |
| 1467627992 | Genesis Behavioral Services, Inc | Community/Behavioral Health | 1654 Washington Ave, Racine, WI 53403-2047 | 2008-04-25 |
| 1285039578 | Racine County Ccs | Community/Behavioral Health | 1717 Taylor Ave, Racine, WI 53403-2405 | 2014-10-29 |
| 1164834453 | Edward Mitchell | Community/Behavioral Health | 2405 Northwestern Ave # Ll15, Racine, WI 53404-2534 | 2014-05-21 |
| 1982951679 | Harvest Consulting Company, LLC | Community/Behavioral Health | 2405 Northwestern Ave, Lower Level Suite 5, Racine, WI 53404-2534 | 2012-08-13 |
| 1184923203 | Transitional Living Services, Inc | Community/Behavioral Health | 3710 Douglas Ave, Racine, WI 53402-3227 | 2011-03-16 |
| 1588970206 | Wheaton Franciscan Hospital | Community/Behavioral Health | 1320 Wisconsin Ave, Racine, WI 53403-1978 | 2010-08-19 |
| Find all providers in RACINE | ||||
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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.