TIMOTHY D NEWLIN (NPI# 1619002839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619002839 |
| Entity Type | Individual |
| Full Name | TIMOTHY D NEWLIN |
| Credential | LPC |
| Practice Address |
203 United Way Drive Frederic WI 54837-8938 |
| Practice Telephone | 7153274402 |
| Practice Fax Number | 7153278509 |
| Mailing Telephone | 7153274402 |
| Mailing Fax Number | 7153278509 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
476-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 855751020906 | 01 |
| MN | BCBS OFMN | 41B87NE | 01 |
| WI | 39634700 | 05 | |
| MN | UNITED BEHAVIORAL HEALTH | 6202881 | 01 |
| MN | HEALTH PARTNERS | HP30378 | 01 |
| Street Address |
203 UNITED WAY DRIVE |
| City | FREDERIC |
| State | WI |
| Zip Code | 54837-8938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366526956 | Northwest Pediatric Specialties, Inc. | Specialist | 203 United Way Drive, Frederic, WI 54837-8938 | 2006-10-24 |
| 1235266065 | Northwest Passage Ltd | Residential Treatment Facility, Emotionally Disturbed Children | 203 United Way Drive, Frederic, WI 54837-8938 | 2007-02-28 |
| 1710022298 | Cynthia L Boykin | Psychologist | 203 United Way Drive, Frederic, WI 54837-8938 | 2007-02-21 |
| 1225173644 | Tara L Mitchell | Counselor | 203 United Way Drive, Frederic, WI 54837-8938 | 2007-02-21 |
| 1104990530 | Northwest Counseling & Guidance Clinic | Clinic/Center | 203 United Way Drive, Frederic, WI 54837-8938 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548639636 | Austin Ross | Pharmacist | 201 Oak St West, Frederic, WI 54837 | 2015-09-18 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1447497763 | Saint-mark Enterprises 1855 LLC | Durable Medical Equipment & Medical Supplies | 110 E Oak St, Frederic, WI 54837 | 2009-01-08 |
| 1639263221 | Pharmacy Operations Inc | Pharmacy | 110 E Oak Street, Frederic, WI 54837 | 2006-10-03 |
| 1457338139 | Joseph L Marek | Chiropractor | 101 United Way, Frederic, WI 54837 | 2005-12-23 |
| 1669572590 | Steven Richard Tesch | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1306946223 | Bradley Scott Harlander | Dentist | 106 S Wisconsin Ave, Frederic, WI 54837-0250 | 2006-09-22 |
| 1689004426 | Kristina M Thompson | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2013-11-14 |
| 1588158679 | Hope Road Wellness Center, LLC | Social Worker | 107 Hope Road West, Frederic, WI 54837-0383 | 2018-06-21 |
| 1043499734 | School District of Frederic | Local Education Agency (LEA) | 1437 Clam Falls Dr, Frederic, WI 54837-4547 | 2007-10-30 |
| Find all providers in zip 54837 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306372065 | Amanda Finstad | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2017-05-02 |
| 1326428350 | Matthew Michael Meyer | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2015-06-04 |
| 1437329687 | Kira Yanko | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2008-03-04 |
| 1962539874 | Angela M Fredrickson | Counselor | 203 United Way, Frederic, WI 54837-8938 | 2007-02-27 |
| 1225173644 | Tara L Mitchell | Counselor | 203 United Way Drive, Frederic, WI 54837-8938 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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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.