STATELINE MENTAL HEALTH SERVICES (NPI# 1538560255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538560255 |
Entity Type | Organization |
Organization Name | STATELINE MENTAL HEALTH SERVICES |
Practice Address |
540 E Grand Ave Beloit WI 53511-6314 |
Mailing Address |
2745 Fawn Ct Beloit WI 53511-1973 |
Practice Telephone | 6083688087 |
Enumeration Date | 2014-09-12 |
Last Update Date | 2017-03-14 |
Authorized Official Name | STEPHANIE KNUEPPEL (PSYCHOTHERAPIST) |
Authorized Official Telephone | 6082177264 |
Authorized Official Credential | LPC |
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) |
Ambulatory Health Care Facilities |
Street Address |
540 E GRAND AVE |
City | BELOIT |
State | WI |
Zip Code | 53511-6314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033376090 | Douglas Edward Kelley | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2008-05-19 |
1740896885 | Taylor Leibfried | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-09-22 |
1396376851 | Nicolette Ann Miller | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2020-02-03 |
1407401771 | Amberly Jean Mixon | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2019-08-05 |
1407345903 | Brielle Evelyn Powers | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2018-05-09 |
1740704287 | Melony Dawn Walsh | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-26 |
1821510595 | Jenniffer Beu | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2017-07-13 |
1568853091 | David Fischer | Social Worker | 540 E Grand Ave, Beloit, WI 53511-6314 | 2015-02-05 |
1982986261 | Stephanie Sisson | Counselor | 540 E Grand Ave, Beloit, WI 53511-6314 | 2011-09-13 |
1780976647 | Beloit Family Eye Care S.c. | Optometrist | 540 E Grand Ave, Beloit, WI 53511-6314 | 2011-05-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
Find all providers in zip 53511 |
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 |
---|---|---|---|---|
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 |
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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.