STATELINE MENTAL HEALTH SERVICES


Address: 540 E Grand Ave, Beloit, WI 53511-6314
Phone: 6083688087

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 540 E GRAND AVE
City BELOIT
State WI
Zip Code 53511-6314

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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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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Competitor

Search similar providers

City BELOIT
Zip Code 53511

Improve Information

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Dataset Information

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.

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