AMY SPRAGUE CHAMPEAU (NPI# 1447204953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447204953 |
| Entity Type | Individual |
| Full Name | AMY SPRAGUE CHAMPEAU |
| Credential | MS, LMFT |
| Practice Address |
102 10th St Racine WI 53403-1513 |
| Practice Telephone | 2626359355 |
| Mailing Telephone | 2626359355 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
166.000914 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
552-124 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BLUE CROSS BLUE SHIELD | 800011628016 | 01 |
| Street Address |
102 10TH ST |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346255817 | Amy Sprague Champeau Ms, Lmft | Marriage & Family Therapist | 102 10th St, Racine, WI 53403-1513 | 2006-07-30 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881220408 | Denise Petrelli-holst | Counselor | 2515 1st St, Racine, WI 53403-9649 | 2020-03-15 |
| 1609106616 | Natalie Caye Fecht | Counselor | 4635 Erie St, Racine, WI 53402-2818 | 2010-01-14 |
| 1699933036 | Theresa Dewalt | Counselor | 1220 Mound Ave Ste 304, Racine, WI 53404-3350 | 2008-05-31 |
| 1609046788 | Portis Marriage and Children Counseling Clinic, LLC | Counselor | 5801 Washington Ave Ste 103, Racine, WI 53406-4057 | 2008-03-05 |
| 1255340642 | Michael Allen Boticki | Counselor | 1220 Mound Ave Ste 301, Racine, WI 53404-3350 | 2006-08-05 |
| 1013539477 | Kelly Jean Smith | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2020-05-08 |
| 1841832474 | Dora Ann Caldwell | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2019-10-15 |
| 1285005082 | John Vianney Muweesi | Counselor | 800 Wisconsin Ave, Racine, WI 53403-1526 | 2015-10-19 |
| 1194101550 | Alexander Jeske | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2015-08-07 |
| 1558615773 | Gregory Lautz | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2012-11-09 |
| 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.