ALICE FAYE PORTIS-PATTERSON (NPI# 1568515922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568515922 |
| Entity Type | Individual |
| Full Name | ALICE FAYE PORTIS-PATTERSON |
| Credential | MSW |
| Practice Address |
6939 Mariner Dr Suite C Racine WI 53406-3938 |
| Mailing Address |
3416 Daisy Ln Racine WI 53405-4606 |
| Practice Telephone | 2628868702 |
| Practice Fax Number | 2628868713 |
| Mailing Telephone | 2625548743 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
947-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39228200 | 05 | |
| WI | VALUE OPTION | 222157 | 01 |
| Street Address |
6939 MARINER DR SUITE C |
| City | RACINE |
| State | WI |
| Zip Code | 53406-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194036657 | Lilliana Garcia | Counselor | 6939 Mariner Dr, Suite C, Racine, WI 53406-4090 | 2010-06-29 |
| 1336264829 | Child, Marriage & Family Therapy Clinic | Counselor | 6939 Mariner Dr, Suite C, Racine, WI 53406-3938 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831376052 | Daun R Kihslinger | Counselor | 6929 Mariner Dr Ste D, Racine, WI 53406-3950 | 2008-01-30 |
| 1477667277 | Andrew John Patch | Counselor | 700 Villa St, Suite A, Racine, WI 53403-1144 | 2006-08-18 |
| 1457395212 | Transitional Living Services, Inc | Counselor | 3710 Douglas Ave, Racine, WI 53402-3227 | 2006-06-15 |
| 1508493370 | Whitney Strack | Counselor | 420 7th St, Racine, WI 53403-1287 | 2020-03-23 |
| 1033742275 | Laura Ramos | Counselor | 800 Wisconsin Ave, Racine, WI 53403-1526 | 2020-02-17 |
| 1386283133 | Hollie White | Counselor | 420 7th St, Racine, WI 53403-1222 | 2019-12-26 |
| 1184196800 | Immanuel Rich | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2018-12-19 |
| 1104309574 | Dominic D Foster | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2018-09-12 |
| 1033634555 | Aneu Beginning LLC. | Counselor | 3801 Monarch Dr, Racine, WI 53406-5500 | 2017-08-04 |
| 1770933103 | Rachana Jitendra Sanghavi | Counselor | 1717 Taylor Ave, Racine, WI 53403-2405 | 2016-06-16 |
| Find all providers in RACINE | ||||
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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.