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).
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 |
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 |
Street Address |
1501 ALBERT ST NORTH UNIT UPPER |
City | RACINE |
State | WI |
Zip Code | 53404-2713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780171728 | David Lawrence Harenke I | Dentist | 1501 Albert St, Racine, WI 53404-2713 | 2018-04-16 |
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 |
Find all providers in zip 53404 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in RACINE |
Please comment or provide details below to improve the information on MRS. ORLESIA GAY GOOSEBERRY.
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.