MARCIA VASTA (NPI# 1548329691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548329691 |
| Entity Type | Individual |
| Full Name | MARCIA VASTA |
| Practice Address |
1095 Midway Rd Menasha WI 54952-1115 |
| Mailing Address |
Po Box 8003 Appleton WI 54912-8003 |
| Practice Telephone | 9207202300 |
| Mailing Telephone | 9209963298 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 871 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39599500 | 05 |
| Street Address |
1095 MIDWAY RD |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968773 | Joanna Morgan | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2005-10-28 |
| 1023628203 | Yvette Samantha Goebel | Psychologist | 1095 Midway Rd, Menasha, WI 54952-1115 | 2020-08-03 |
| 1861034456 | Noelle R Pannebaker | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-10-15 |
| 1073164307 | Betty J Atchison | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-09-27 |
| 1568018604 | Melissa A Schmidt | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-08-14 |
| 1114571999 | Tammy M Flynn | Nurse Practitioner | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-07-30 |
| 1407410418 | Rebecca Ann Kersten | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2019-04-24 |
| 1346718749 | Greg A Delaney | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2018-11-05 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| 1972006831 | Amanda Jean Swaw-wyer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1306350970 | Tayler Leigh Maulick | Physical Therapy Assistant | 1700 Midway Rd, Menasha, WI 54952 | 2017-11-19 |
| Find all providers in zip 54952 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710474978 | Inner Strength Counseling & Recovery LLC | Counselor | 130 Main St Ste 200, Menasha, WI 54952-3181 | 2018-04-13 |
| 1114275625 | Amy Pope | Counselor | 1070 Province Ter, Menasha, WI 54952-7004 | 2012-08-15 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1619968773 | Joanna Morgan | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2005-10-28 |
| 1851875629 | Kayla Uphill | Counselor | 1366 Appleton Rd, Menasha, WI 54952-1504 | 2018-09-18 |
| 1679873947 | Wendy Reha | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2010-11-02 |
| 1275864837 | Vivian Hazell | Counselor | 1800 Appleton Rd, Menasha, WI 54952-3727 | 2010-01-21 |
| 1780866756 | Jennifer Beth Grube | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2007-12-03 |
| 1124140108 | Laura L Kellogg | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2007-04-03 |
| 1003978859 | Lisa Bredael | Counselor | 1095 Midway Rd, Menasha, WI 54952-1115 | 2006-12-15 |
| Find all providers in MENASHA | ||||
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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.