IMPACT COUNSELING SERVICES, LLC (NPI# 1467626606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467626606 |
| Entity Type | Organization |
| Organization Name | IMPACT COUNSELING SERVICES, LLC |
| Practice Address |
301 Ellis Ave Suite 1 Ashland WI 54806-1667 |
| Mailing Address |
15655 Co Hwy B Po Box 13251 Hayward WI 54843 |
| Practice Telephone | 7156823523 |
| Mailing Telephone | 7156340607 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | RENEE M MILLWOOD (DIRECTOR) |
| Authorized Official Telephone | 7156340607 |
| Authorized Official Credential | MS, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
43008600 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43008600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689812422 | Impact Counseling Services, LLC | Clinic/Center | 306 State Highway 70 E, Saint Germain, WI 54558-8800 | 2009-02-02 |
| 1346419082 | Impact Counseling Services, LLC | Clinic/Center | 15655 County Road B, Hayward, WI 54843-3251 | 2008-02-27 |
| 1578973848 | Impact Counseling Services, LLC | Community/Behavioral Health | 413 N. Montgomery Street, Hollidaysburg, PA 16648 | 2014-05-07 |
| 1740425941 | Impact Counseling Services, LLC | Clinic/Center | 17a W Davenport St, Rhinelander, WI 54501-0742 | 2008-12-03 |
| 1417121666 | Impact Counseling Services, LLC | Clinic/Center | 158 S Anderson St, Rhinelander, WI 54501-3447 | 2008-04-18 |
| 1326212572 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Ashland, WI 54806-1667 | 2008-04-18 |
| 1437323680 | Impact Counseling Services, LLC | Clinic/Center | 15655 County Road B, Hayward, WI 54843-3251 | 2008-04-18 |
| 1770757924 | Impact Counseling Services, LLC | Clinic/Center | 158 S Anderson St, Rhinelander, WI 54501-0158 | 2008-04-18 |
| Street Address |
301 ELLIS AVE SUITE 1 |
| City | ASHLAND |
| State | WI |
| Zip Code | 54806-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422039 | Karla Vinci | Counselor | 301 Ellis Ave, Suite 1, Ashland, WI 54806-1629 | 2015-11-19 |
| 1326212572 | Impact Counseling Services, LLC | Clinic/Center | 301 Ellis Ave, Ashland, WI 54806-1667 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992236525 | Robin Jurgensen | Counselor | 1619 W Third Street, Ashland, WI 54806 | 2017-03-24 |
| 1922479195 | Alexa M Honstad | Registered Nurse | Memorial Medical Center, Inc, 1615 Maple Lane, Ashland, WI 54806 | 2015-10-14 |
| 1982032728 | Noel Hong | Pharmacist | 1800 Us Highway 2, Ashland, WI 54806 | 2013-10-14 |
| 1588909402 | Kelli Danielle Culver | Registered Nurse | 216 3rd St W Ste 201, Ashland, WI 54806 | 2012-12-04 |
| 1114191756 | Karen Keyes | Occupational Therapist | 1635 Maple Lane, Behavioral Health Services, Ashland, WI 54806 | 2008-04-15 |
| 1174645204 | Michael Allyn Turgeon | Social Worker | 517 Beaser Avenue, Ashland, WI 54806 | 2007-04-06 |
| 1770669269 | Laura Anton Ia Nitsche | Speech-Language Pathologist | 618 Beaser Avenue, Ashland, WI 54806 | 2006-10-27 |
| 1104915222 | Patrick Alan Hickman | Chiropractor | 400 East Lakeshore Drive, Ashland, WI 54806 | 2006-10-12 |
| 1386732113 | Janet Lee Sternat | Physical Therapist | 618 Beaser Ave, Cesa #12, Ashland, WI 54806 | 2006-10-10 |
| 1295743193 | Ashland Dental Clinic Inc | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-08-04 |
| Find all providers in zip 54806 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754167 | Asap-behavioral Health, Sc | Clinic/Center | 11380 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
| 1003375049 | Sj Counseling Services, LLC | Clinic/Center | 7726 N 80th St, Milwaukee, WI 53223-3810 | 2019-03-19 |
| 1295224657 | Northwest Counseling & Guidance Clinic | Clinic/Center | 123 S Van Buren, Green Bay, WI 54301-4441 | 2018-05-01 |
| 1801308218 | Northwest Counseling & Guidance Clinic | Clinic/Center | 915 Acacia Ln, Rhinelander, WI 54501-2806 | 2017-10-26 |
| 1790143667 | Northwest Counseling & Guidance Clinic | Clinic/Center | 1201 North 28th Street, Northwest Journey - Northern Lights, Superior, WI 54880-8556 | 2016-02-05 |
| 1417334988 | Willow Creek Ranch, Inc. | Clinic/Center | 7404 Northwest Hwy # 83, Mukwonago, WI 53149-8903 | 2015-05-04 |
| 1770985467 | Northwest Counseling & Guidance Clinic | Clinic/Center | 16092 Highway 63, Hayward, WI 54843-9775 | 2014-09-24 |
| 1700018389 | Saris Counseling LLC | Clinic/Center | 3416 Association Dr, Appleton, WI 54914 | 2009-08-17 |
| 1891976478 | Future Thoughts | Clinic/Center | 2623 N 53rd St, Milwaukee, WI 53210-2326 | 2007-11-24 |
| 1982821575 | Northwest Counseling and Guidance - Northwest Journey - Superior | Clinic/Center | 1419 Hill Ave Ste B, Superior, WI 54880-1951 | 2007-04-18 |
| 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.