GARY GENE GROTE (NPI# 1457493280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457493280 |
| Entity Type | Individual |
| Full Name | GARY GENE GROTE |
| Credential | CSAC |
| Practice Address |
114 Grand Ave Wausau WI 54403-6214 |
| Practice Telephone | 7158457175 |
| Practice Fax Number | 7158457142 |
| Mailing Telephone | 7158457175 |
| Mailing Fax Number | 7158457142 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15180 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39174300 | 05 |
| Street Address |
114 GRAND AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932688595 | Chad Macmillan | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2018-08-14 |
| 1164949319 | Ashley Dawn Abrams | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2017-08-28 |
| 1649718917 | Colleen Angel | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2017-02-07 |
| 1679022156 | Debra Stahl | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2016-09-26 |
| 1003247420 | Robert Donald Wurth | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2013-12-11 |
| 1255765335 | Courtney Derus | Psychologist | 114 Grand Ave, Wausau, WI 54403-6214 | 2013-08-26 |
| 1376863688 | Elizabeth Jane Unrath | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2010-06-09 |
| 1710006523 | Lisa L Berry | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| 1720107550 | Shelly Tuttle | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| 1497874291 | Kandace J Elmergreen | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255817151 | Debra Roberts | Counselor | 1610 Evergreen Rd, Wausau, WI 54403-2031 | 2018-07-13 |
| 1780191973 | Kristina M. Mauk | Counselor | 500 N 3rd St Ste 220, Wausau, WI 54403-4857 | 2018-01-09 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1053643403 | Melanie Strand-glatczak | Counselor | 630 S 36th Ave, Wausau, WI 54401-3930 | 2010-02-10 |
| 1689909335 | Laura L Goergen | Counselor | 1720 Merrill Ave Ste 401, Wausau, WI 54401-3427 | 2009-10-14 |
| 1619168184 | Rania Mae Brown | Counselor | 209 W Washington St Ste B, Wausau, WI 54403-5475 | 2007-08-08 |
| 1346389269 | Deborah Ann Piskoty | Counselor | 741 N 1st St, Wausau, WI 54403-4721 | 2007-02-06 |
| 1730273616 | Family Counseling Service of Wausau Inc. | Counselor | 903 2nd St, Wausau, WI 54403-4705 | 2006-10-03 |
| 1265537484 | Ian Jeffrey Agar | Counselor | Wausau Veterans Outpatient Clinic, 515 S. 32nd Avenue, Wausau, WI 54401 | 2006-09-13 |
| 1922657345 | Carmen Letarski | Counselor | 903 N 2nd St, Wausau, WI 54403-4702 | 2019-09-09 |
| Find all providers in WAUSAU | ||||
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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.