JAMES HAROLD BROECKER (NPI# 1548349848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548349848 |
| Entity Type | Individual |
| Full Name | JAMES HAROLD BROECKER |
| Credential | MS, LMFT |
| Practice Address |
401 Stageline Rd Suite 7 Hudson WI 54016-7897 |
| Mailing Address |
Po Box 644 Hudson WI 54016-0644 |
| Practice Telephone | 7155316760 |
| Practice Fax Number | 7155316761 |
| Mailing Telephone | 7155316760 |
| Mailing Fax Number | 7155316761 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | 913 | MN | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 650-124 | WI | Behavioral Health & Social Service Providers |
| Street Address |
401 STAGELINE RD SUITE 7 |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-7897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548267396 | Michele Anne Drevnick | Audiologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| 1174614408 | Sandra L Larson | Counselor | 401 Stageline Rd, Hudson, WI 54016-7897 | 2006-09-28 |
| 1114018447 | Raena Sue Deperry | Audiologist | 401 Stageline Rd, Ste. 6, Hudson, WI 54016-7897 | 2006-09-28 |
| 1548278203 | Mary Ellen Jacks | Marriage & Family Therapist | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-08-04 |
| 1457373441 | Pamela J. Henkel D.b.a. Hudson Counseling Services | Counselor | 401 Stageline Rd, Suite 7, Hudson, WI 54016-7897 | 2006-07-25 |
| 1639125792 | Lucy Lynn Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1841246204 | Lucy Pirner | Counselor | 401 Stageline Rd, Hudson Counseling Services Ste. 7, Hudson, WI 54016-7897 | 2006-05-26 |
| 1710984562 | Hudson Hearing & Speech Clinic Inc | Speech-Language Pathologist | 401 Stageline Rd, Suite 6, Hudson, WI 54016-7897 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| 1063930691 | Krista Jo Dorgan | Marriage & Family Therapist | 2217 Vine Street #206, Hudson, WI 55001 | 2017-09-04 |
| 1598168460 | Jessica Rachelle Nadeau | Marriage & Family Therapist | 2217 Vine St Ste 2, Hudson, WI 54016-5863 | 2014-10-06 |
| 1104251651 | Kate Marie Jaramillo | Marriage & Family Therapist | 13345 Hillwood Cir, Hudson, FL 34667-1422 | 2013-09-03 |
| 1013252774 | Rashelle Nichole Anderson | Marriage & Family Therapist | 2501 Hanley Rd Ste 202, Hudson, WI 54016-8705 | 2012-12-06 |
| 1053501759 | Ariann Henderson | Marriage & Family Therapist | 117 Whitetail Rdg, Hudson, IA 50643-9718 | 2007-07-29 |
| 1982771317 | Angela B Siler | Marriage & Family Therapist | 1200 Hosford St, Suite 107, Hudson, WI 54016-9319 | 2006-11-29 |
| 1699845487 | Lee Andrew Folstad | Marriage & Family Therapist | 2910 Enloe St Ste 104, Hudson, WI 54016-8166 | 2006-11-08 |
| 1457868408 | Jeana Michele Wescott | Marriage & Family Therapist | 2501 Hanley Rd, Hudson, WI 54016-8705 | 2017-12-29 |
| 1174069587 | Caitlyn Schmit | Marriage & Family Therapist | 2201 Jack Breault Dr, Suite 200, Hudson, WI 54016-4547 | 2017-01-09 |
| Find all providers in HUDSON | ||||
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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.