CREDENCE THERAPY ASSOCIATES INC (NPI# 1487648663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487648663 |
| Entity Type | Organization |
| Organization Name | CREDENCE THERAPY ASSOCIATES INC |
| Other Organization Name | CREDENCE THERAPY ASSOCIATES |
| Practice Address |
1 1/2 W Geneva St Elkhorn WI 53121-1722 |
| Practice Telephone | 2627233424 |
| Practice Fax Number | 2627238308 |
| Mailing Telephone | 2627233424 |
| Mailing Fax Number | 2627238308 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2014-12-29 |
| Authorized Official Name | MS. KIM ANN STEEN (DIRECTOR) |
| Authorized Official Telephone | 2627233424 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1262 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN CARE | 538578 | 01 |
| MAGELLAN BEH HEALTH | 17257700 | 01 | |
| CENPATICO | 42168400 | 01 | |
| WI | HIRSP | 42169400 | 01 |
| WI | 42168400 | 05 |
| Other Name | Type Code |
|---|---|
| Credence Therapy Associates | Doing Business As Name - Organization |
| Street Address |
1 1/2 W GENEVA ST |
| City | ELKHORN |
| State | WI |
| Zip Code | 53121-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059800 | Jessica Lynn Hardy | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-29 |
| 1396351789 | Danielle Obannon | Student in an Organized Health Care Education/Training Program | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-09-21 |
| 1154948842 | Ronna Lynette Brennan | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2020-06-29 |
| 1184275075 | Kelli Brossart | Social Worker | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2019-09-23 |
| 1639687353 | Stephanie A Mager | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2018-01-16 |
| 1912372038 | Janis M Paonessa | Marriage & Family Therapist | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2015-12-01 |
| 1295155166 | Cassandra Abel | Social Worker | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2014-04-18 |
| 1770912958 | Laurie Ventela | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121 | 2013-11-07 |
| 1902054026 | Judith R Rolfs | Counselor | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2008-09-03 |
| 1154511269 | Joy Evon Clikeman | Marriage & Family Therapist | 1 1/2 W Geneva St, Elkhorn, WI 53121-1722 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1689023848 | Jill Bestul | Occupational Therapist | 1532 N. Fairway Lane, Elkhorn, WI 53121 | 2016-06-08 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1467894394 | Stephanie Lynn Coates | Counselor | 1 1/2 West Geneva Street, Credence Therapy Associates, Elkhorn, WI 53121 | 2013-07-19 |
| 1871853846 | Roger Dwight Petersen | Family Medicine | 20 South Washington St, Elkhorn, WI 53121 | 2012-05-23 |
| 1184993792 | Adam D Lewis | Pharmacist | 939 N. Wisconsin St., Elkhorn, WI 53121 | 2011-12-28 |
| 1609035328 | Paul V Kreul | Dentist | 715 W Walworth St, Elkhorn, WI 53121 | 2008-06-06 |
| 1548482508 | Mary Brauer | Physical Therapist | W3930 Co Rd Nn, Elkhorn, WI 53121 | 2007-05-02 |
| 1245458140 | Tammie Eileen Demicco | Occupational Therapy Assistant | 1922 County Rd. Nn, Elkhorn, WI 53121 | 2007-04-23 |
| 1215150198 | Laura L Barnes | Physical Therapy Assistant | 1922 County Road Nn, Elkhorn, WI 53121 | 2007-04-10 |
| Find all providers in zip 53121 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857601 | All Encompassing Counseling LLC | Clinic/Center | 209 O'connor Drive, Elkhorn, WI 53121 | 2019-02-18 |
| 1588733307 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151439 | Tetzlaff & Myhre Psychotherapy and Assessments, LLC | Clinic/Center | N55w37178 Roland St, Oconomowoc, WI 53066-5321 | 2020-10-13 |
| 1598377244 | Calming Journeys Counseling, S.c. | Clinic/Center | 220 Wisconsin Dells Pkwy S Ste 1, Wisconsin Dells, WI 53965-8305 | 2020-08-23 |
| 1811509979 | Natural Wisdom Counseling LLC | Clinic/Center | 1523 Wi-78 Trunk, Mount Horeb, WI 53572 | 2020-08-20 |
| 1245841089 | Integrated Counseling LLC | Clinic/Center | 7818 Big Sky Dr Ste 214, Madison, WI 53719-2840 | 2020-08-14 |
| 1629687108 | Premier Medical & Couple Therapy | Clinic/Center | 1025 W Glen Oaks Ln Ste 208, Mequon, WI 53092-3374 | 2020-07-30 |
| 1841809878 | Lifespan Psychotherapy | Clinic/Center | 510 Hartbrook Dr Ste 204b, Hartland, WI 53029-1440 | 2020-07-27 |
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1275164709 | Katrina M. Johnson, LLC | Clinic/Center | 106 Passive Sun Drive, Soldiers Grove, WI 54655 | 2020-02-03 |
| 1316587439 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 1635 W National Ave, Milwaukee, WI 53204-1130 | 2020-01-07 |
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| 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.