AMANDA J FALKERS (NPI# 1497296511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497296511 |
| Entity Type | Individual |
| Full Name | AMANDA J FALKERS |
| Credential | MS, LPC, SAC |
| Practice Address |
402 S Black River St Ste 125 Sparta WI 54656-2043 |
| Mailing Address |
802 Terry Ct Sparta WI 54656-8806 |
| Practice Telephone | 6085011189 |
| Practice Fax Number | 8889281124 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16419-131 | WI | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17434-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6606-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 13979430 | 01 | |
| WI | 100065211 | 05 | |
| AGENCY NPI NUMBER | 1750980306 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 Grayside Ave, Mauston, WI 539481913 | 6088477575 | 6088473096 |
| Street Address |
402 S BLACK RIVER ST STE 125 |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980306 | Aj Falkers Counseling & Consulting Services, LLC | Community/Behavioral Health | 402 S Black River St Ste 125, Sparta, WI 54656-2043 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376193367 | Renata Jachna | Counselor | 46 Main St Ste 402, Sparta, NJ 07871-1910 | 2019-09-12 |
| 1205346889 | Caryn Dambra | Counselor | 172 Woodport Rd Ste D, Sparta, NJ 07871-2610 | 2017-10-09 |
| 1609399625 | Vicki Lynn Riley | Counselor | 14301 County Highway B Bldg A19, Sparta, WI 54656-0044 | 2017-07-21 |
| 1629511787 | Shonteria Russell | Counselor | 755 Millers Point Rd, Sparta, TN 38583-1236 | 2016-11-22 |
| 1578010674 | Lakeside Counseling Associates, LLC | Counselor | 350 Sparta Ave Ste C2a, Sparta, NJ 07871-1123 | 2016-09-06 |
| 1275994899 | Danah Rumble | Counselor | 200 Woodport Rd Ste B, Sparta, NJ 07871-2628 | 2016-03-09 |
| 1568891646 | Lois Ferguson | Counselor | 10 Poplar Tree Ln, Sparta, NJ 07871-2317 | 2013-11-08 |
| 1184065666 | Jennifer L Murphy | Counselor | 1 E Bockman Way Rm 205, Sparta, TN 38583-2034 | 2013-07-11 |
| 1932341625 | Anthony Lombardo | Counselor | 24 Cottage Ln, Sparta, NJ 07871-4000 | 2009-03-27 |
| 1578719357 | Linda Jeanne Rooney | Counselor | 8 Megan Terr., Sparta, NJ 07871 | 2008-08-13 |
| Find all providers in SPARTA | ||||
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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.