MR. MITCHELL C CONNELL (NPI# 1578572533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578572533 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL C CONNELL |
| Credential | LPC |
| Practice Address |
2820 Roosevelt Rd Marinette WI 54143-3834 |
| Mailing Address |
Po Box 22040 Green Bay WI 54305-2040 |
| Practice Telephone | 9204336073 |
| Practice Fax Number | 7157355388 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2019-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3321-125 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 Wisconsin American Dr, Fond Du Lac, WI 54935 | 9209077000 | 9209077012 |
| Street Address |
2820 ROOSEVELT RD |
| City | MARINETTE |
| State | WI |
| Zip Code | 54143-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417944810 | Sandra B Macarthur | Pediatrics | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2005-09-30 |
| 1699393983 | Andrea Olson | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2020-07-13 |
| 1548804370 | Mallory H Krueger | Dietitian, Registered | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2019-11-05 |
| 1154813319 | Ashley T Bretl | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-06-04 |
| 1144725409 | Oconto Hospital & Medical Center, Inc. | Clinic/Center | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2018-03-28 |
| 1801307061 | Baycare Clinic, LLP | Neurological Surgery | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-10-16 |
| 1972013985 | Emily Hope Bauman | Dietitian, Registered | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-10-04 |
| 1326565334 | Stacie Marie Zdroik | Nurse Practitioner | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-08-30 |
| 1821527821 | Lucas A Navrestad | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-06-05 |
| 1710415799 | Andrew R Rosik | Physical Therapist | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2017-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966750 | Allie Parthie | Dentist | 1420 University Dr, Marinette, WI 54143 | 2018-06-21 |
| 1043730690 | Jonathan Weseman | Emergency Medicine | 3003 University Dr, Marinette, Marinette, WI 54143 | 2017-06-25 |
| 1538698618 | Meghan M Russell | Nurse Practitioner | 4061 Old Peshtigo Road, Marinette, WI 54143 | 2017-06-12 |
| 1801279435 | Stephanie Miller | Licensed Practical Nurse | W1902 State Hwy 64, Marinette, WI 54143 | 2015-07-01 |
| 1417298704 | Danielle Risner | Occupational Therapist | Luther Home 831 Pine Beach Rd, Marinette, WI 54143 | 2013-03-12 |
| 1053631903 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | W 716 County B, Ste B, Marinette, WI 54143 | 2010-06-02 |
| 1417105545 | Forefront Dermatology, S.c. | Dermatology | 3515 Murray Street, Marinette, WI 54143 | 2008-09-03 |
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1538338926 | Charlene Mae Miller | Licensed Practical Nurse | 1126 Daggett, Marinette, WI 54143 | 2008-02-29 |
| 1104025519 | James Alan Boren | Family Medicine | 5926 Highway 41, Stephenson, MI 54143 | 2007-07-16 |
| Find all providers in zip 54143 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245493352 | Judith M Ribbens | Counselor | 1557 Cleveland Ave, Marinette, WI 54143 | 2008-07-08 |
| 1013550813 | Rebecca Kosewski | Counselor | 2500 Hall Ave Ste A, Marinette, WI 54143-1656 | 2019-10-24 |
| 1578021580 | Florance Arlene Padgett | Counselor | 1557 Cleveland Ave, Marinette, WI 54143-3920 | 2019-03-08 |
| 1922507862 | Sarah L Frye | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2018-02-06 |
| 1134644784 | Karyn K Kiedrowski | Counselor | 2500 Hall Ave, Marinette, WI 54143-1655 | 2017-08-04 |
| 1033659271 | Nicklaus Counseling Center | Counselor | 1557 Cleveland Ave, Marinette, WI 54143-3920 | 2017-03-07 |
| 1386188712 | Christine Marie Nicklaus | Counselor | 1557 Cleveland Ave, Marinette, WI 54143-3920 | 2016-12-03 |
| 1447489679 | Heidi Jean Maye | Counselor | 2820 Roosevelt Rd, Marinette, WI 54143-3834 | 2009-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811193 | Leah Marie Benz | Counselor | W3149 Koschnick Rd, Watertown, WI 53094-9415 | 2020-11-05 |
| 1891395174 | Michael Robert Skaggs | Counselor | 8618 Us Highway 51 N, Minocqua, WI 54548-9347 | 2020-10-27 |
| 1760099329 | Spencer Rea Hansen Thomas | Counselor | 3340 Lineville Rd, Green Bay, WI 54313-7237 | 2020-09-28 |
| 1265048029 | Kristen R Coffey | Counselor | 405 E Forest St, Oconomowoc, WI 53066-3707 | 2020-09-17 |
| 1902411663 | Kristen Camille Kapler | Counselor | 3899 Division Rd, Jackson, WI 53037-9707 | 2020-09-10 |
| 1952914780 | Michelle Lee Barth | Counselor | 208 Longview Ave, Green Bay, WI 54301-1034 | 2020-08-31 |
| 1316550197 | All R Welcome LLC | Counselor | 4465 N. Oakland Ave, Shorewood, WI 53211-0041 | 2020-08-31 |
| 1962016766 | Ciara Krueger | Counselor | 2987 Yarmouth Greenway Dr Ste 200, Fitchburg, WI 53711-5852 | 2020-08-31 |
| 1164032983 | Terra Swanson | Counselor | 310a N Brown St, Rhinelander, WI 54501-3103 | 2020-08-06 |
| 1124638069 | Brittney Schultz | Counselor | 405 E Forest St Ste 119, Oconomowoc, WI 53066-3707 | 2020-08-05 |
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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.