TERESA WETSCH (NPI# 1508238601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508238601 |
| Entity Type | Individual |
| Full Name | TERESA WETSCH |
| Practice Address |
1237 W Divide Ave Ste 5 Bismarck ND 58501-1208 |
| Practice Telephone | 7013288888 |
| Mailing Telephone | 7013288888 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1237 W DIVIDE AVE STE 5 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336228824 | Shannon M Reis | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2006-11-03 |
| 1760081723 | Jessica Schneider | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-10-21 |
| 1598379091 | Alyssa Johnson | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-02 |
| 1316551088 | Samantha Birrenkott | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-01 |
| 1730793480 | Kayla Stastny | Behavioral Analyst | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-09-01 |
| 1720696305 | Tessa Rath | Specialist | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-07-20 |
| 1972126241 | Tami M Mainey | Social Worker | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-21 |
| 1053934604 | Patrick L Joyce | Counselor | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-18 |
| 1437771441 | Megan J Suchy | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-05-13 |
| 1881220267 | Brittany Hanson | Registered Nurse | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2020-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205362142 | Craig Wysk | Case Manager/Care Coordinator | 921 S 9th St, Suite #110, Bismarck, ND 58504-5851 | 2017-05-11 |
| 1619114626 | Scott Anthony Kirchmeier | Case Manager/Care Coordinator | 1417 E Divide Ave, Bismarck, ND 58501-2072 | 2009-01-13 |
| 1326216334 | Amy Fast | Case Manager/Care Coordinator | 1120 Laramie Dr, Bismarck, ND 58504-6373 | 2008-02-12 |
| 1730357856 | Kathryn Krukenberg | Case Manager/Care Coordinator | 320 S 14th St, Bismarck, ND 58504-6049 | 2008-02-11 |
| 1679794382 | Wendy Coleen Borman-burman | Case Manager/Care Coordinator | 513 E Bismarck Expy, Bismarck, ND 58504-6577 | 2007-05-01 |
| 1659994374 | Sierra Guches | Case Manager/Care Coordinator | 1616 Capitol Way, Bismarck, ND 58501-2100 | 2020-05-28 |
| 1679031884 | Chelsey Brown | Case Manager/Care Coordinator | 11636 Highway 84, Bismarck, AR 71929-7473 | 2019-03-06 |
| 1528532470 | Kathryn Elizabeth Dockter | Case Manager/Care Coordinator | 1616 Capitol Way, Bismarck, ND 58501-2100 | 2019-01-14 |
| 1689140733 | Jessica Herold | Case Manager/Care Coordinator | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2018-10-16 |
| 1538644331 | Erin King | Case Manager/Care Coordinator | 1237 W Divide Ave Ste 5, Bismarck, ND 58501-1208 | 2018-09-27 |
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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.