MRS. SARAH BETH DONOVAN


Address: 1160 Kepler Dr, Green Bay, WI 54311
Phone: 9202885500

MRS. SARAH BETH DONOVAN (NPI# 1447349832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447349832
Entity Type Individual
Full Name MRS. SARAH BETH DONOVAN
Credential LPC
Practice Address 1160 Kepler Dr
Green Bay
WI 54311
Mailing Address 1160 Kepler Dr
Green Bay
WI 54311-8321
Practice Telephone 9202885500
Practice Fax Number 9202885510
Mailing Telephone 9202885500
Mailing Fax Number 9202885510
Enumeration Date 2006-10-12
Last Update Date 2018-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CADC-D #13860 WI Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
3564-125 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI MEDICAL ASSISTANCE 40997300 01

Other Providers SARAH DONOVAN

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1043870728 Sarah Donovan Psychologist 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 2019-06-16
1861889917 Sarah Donovan Specialist/Technologist 400 Lafayette Rd, Hampton, NH 03842-2209 2015-04-15
1861034027 Sarah Newberry Donovan Psychologist 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044 2019-10-09
1558824144 Sarah Sloane Donovan Counselor 1447 York Rd Ste 701, Lutherville, MD 21093-6089 2019-04-10
1376915801 Sarah Donovan Counselor 77 Mill St, Westfield, MA 01085-4598 2015-10-23
1770920399 Sarah Donovan Counselor 282 W Millbrook Rd, Suite 100, Raleigh, NC 27609-4676 2013-05-23
1952681512 Sarah Katherine Donovan Physician Assistant 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215-3678 2011-08-26
1457684367 Sarah Hayward Donovan Occupational Therapist 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 2009-09-09
1730168899 Sarah J Donovan Physician Assistant 1800 Town Center Dr, Suite 415, Reston, VA 20190-3215 2006-01-16

Office Location

Street Address 1160 KEPLER DR
City GREEN BAY
State WI
Zip Code 54311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649273129 Luke Thomas Warpinski Family Medicine 1160 Kepler Dr, Green Bay, WI 54311-8321 2005-05-27
1639783202 Angela Dhuey Massage Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-09-01
1912511585 Marilee Petasek Massage Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-09-01
1720611981 Baycare Aurora, LLC Durable Medical Equipment & Medical Supplies 1160 Kepler Dr, Green Bay, WI 54311-8321 2020-02-17
1619448727 Melissa Mary Thompson Physical Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-12-16
1942776919 Nathan Seitz Physical Therapist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-10-17
1679052104 Amy E Warden Nurse Practitioner 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-08-07
1477052553 Kristin Kiekhaefer Specialist/Technologist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-02-05
1235647876 Jordan Robinson Specialist/Technologist 1160 Kepler Dr, Green Bay, WI 54311-8321 2018-01-17
1811433816 Paige E Pernaski Registered Nurse 1160 Kepler Dr, Green Bay, WI 54311-8321 2017-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295333847 Karen Ginnow Pharmacist Walmart #1908, 2292 Main St, Green Bay, WI 54311 2020-10-15
1639786551 Maggie Hall Dental Hygienist 2633 Development Dr. Ste 40, Green Bay, WI 54311 2020-09-24
1295370807 Jennifer Marie Arendt Technician 2970 Mossy Oak Cir #39, Green Bay, WI 54311 2019-11-07
1518508803 Cheryl Ann Johnson Specialist 830 Edgewood Dr., Green Bay, WI 54311 2019-10-08
1124670898 Robert H Wagner Family Dentist S.c. Dentist 2830 Curry Court, Suite 1, Green Bay, WI 54311 2019-07-12
1821659624 The Salvation Army Counselor The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 2019-06-24
1578052866 Matthew Robert Wagner Dentist 2830 Curry Ln #1, Green Bay, WI 54311 2018-05-02
1861916769 Atlas Spinal Care Chiropractor 2069 Central Ct, Suite 11, Green Bay, WI 54311 2017-08-01
1851844161 Green Bay Family Dental LLC Dentist 2609 Development Dr., Green Bay, WI 54311 2016-08-03
1710382809 Betsy Hoida Pharmacist 2485 Greenbrier Rd., Green Bay, WI 54311 2014-10-31
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760099329 Spencer Rea Hansen Thomas Counselor 3340 Lineville Rd, Green Bay, WI 54313-7237 2020-09-28
1952914780 Michelle Lee Barth Counselor 208 Longview Ave, Green Bay, WI 54301-1034 2020-08-31
1811412521 Karlye Krien Counselor 1061 W Mason St, Green Bay, WI 54303-1858 2017-08-03
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1205387271 Anne Karjala-dobbins Counselor 1985 E Telemark Cir, Green Bay, WI 54313-4335 2016-10-14
1689026650 Catherine Calo Counselor 529 Greene Ave, Green Bay, WI 54301-2819 2016-07-01
1225498983 Michael Sherman Fentress Counselor 2711 Humboldt Rd Apt 2, Green Bay, WI 54311-8463 2016-02-24
1831566363 Stephanie Birmingham Counselor 1900 Morrow St, #106, Green Bay, WI 54302-3479 2015-09-01
1144600149 Carrie Jean Banaszak Counselor 1039 Mason Street, Green Bay, WI 54303 2015-06-04
1700272929 Kerri Schmidt Counselor 916 Willard Drive, Suite #136, Green Bay, WI 54304-6223 2015-04-14
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Competitor

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City GREEN BAY
Zip Code 54311

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Dataset Information

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.

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