MRS. ORLESIA GAY GOOSEBERRY


Address: 1501 Albert St, North Unit Upper, Racine, WI 53404-2713
Phone: 2626382975

MRS. ORLESIA GAY GOOSEBERRY (NPI# 1578811980) 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) 1578811980
Entity Type Individual
Full Name MRS. ORLESIA GAY GOOSEBERRY
Credential CSAC AND SOCIAL WORK
Practice Address 1501 Albert St
North Unit Upper
Racine
WI 53404-2713
Mailing Address 7726 W Lisbon Ave
Apt # 2
Milwaukee
WI 53222-3945
Practice Telephone 2626382975
Mailing Telephone 4146173684
Enumeration Date 2012-08-16
Last Update Date 2012-09-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15709-132 WI Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 10901-120 WI Behavioral Health & Social Service Providers

Office Location

Street Address 1501 ALBERT ST
NORTH UNIT UPPER
City RACINE
State WI
Zip Code 53404-2713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780171728 David Lawrence Harenke I Dentist 1501 Albert St, Racine, WI 53404-2713 2018-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033686001 Rosamaria E Garcia Registered Nurse 1120 Hartman Ct, Racine, WI 53404 2018-10-29
1912372418 Avada Audiology and Hearing Care Preferred Provider Organization 813 Fox Lane Suite B, Waterford, WI 53404 2015-12-09
1215095096 Bonnie Lee Wirfs Internal Medicine 2000 Domanik Drive, Racine, WI 53404 2006-12-05
1992813893 Craig E Fleury Dentist 7117 Green Bay Road, Racine, WI 53404 2006-08-29
1174631089 Greg L Smart Dentist 7117 Green Bay Road, Racine, WI 53404 2006-08-29
1871953950 Amybeth Mahoney Counselor 4726 N Green Bay Rd, Racine, WI 53404-1108 2016-03-02
1649560871 Abby Healthcare Staffing, LLC Home Health 3406 Killips Ln, Racine, WI 53404-1310 2011-04-08
1114071917 Ib Thostrup Chiropractor 2827 Rapids Dr, Racine, WI 53404-1620 2007-01-22
1417001140 Thostrup Chiropractic, S.c. Chiropractor 2827 Rapids Dr, Racine, WI 53404-1620 2007-01-22
1578620423 Sally Jean Brown Chiropractor 2609 Rapids Dr, Racine, WI 53404-1741 2007-01-02
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891396255 Cassandra C Coates Counselor 134 Main St Apt 117, Racine, WI 53403-4623 2020-11-03
1871953950 Amybeth Mahoney Counselor 4726 N Green Bay Rd, Racine, WI 53404-1108 2016-03-02
1255798351 Lazria Price Counselor 3801 Monarch Drive 2d, Racine, WI 53406-5500 2016-01-20
1881067197 Jerry Morris Counselor 1303 Chatham St, Racine, WI 53402-4947 2015-11-09
1225434244 Tuanquilla Montessa Thompson Counselor 829 Wisconsin Ave, Racine, WI 53403-1505 2014-11-18
1457780496 Pheynell Branch Counselor 1650 Wasington Ave, Racine, WI 53403 2013-11-08
1720363849 Carla Yvette Ward Counselor 5735 Durand Ave Suite A, Racine, WI 53406 2011-10-20
1871804963 Sharon Johnson-visor Counselor 6939 Mariner Dr Ste C, Racine, WI 53406-4090 2010-06-23
1770753766 Sara L De Grave Counselor 521 Sixth St, Racine, WI 53403-1117 2008-03-05
1083813224 Mwa Counseling Counselor 4425 Taylor Ave, Racine, WI 53405-4642 2007-07-17
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Competitor

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City RACINE
Zip Code 53404

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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