SHELLIE K BABCOCK (NPI# 1619398005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619398005 |
| Entity Type | Individual |
| Full Name | SHELLIE K BABCOCK |
| Credential | LCSW |
| Practice Address |
6121 Green Bay Rd Suite 220 Kenosha WI 53142-2926 |
| Mailing Address |
6121 Green Bay Rd Ste 240 Kenosha WI 53142-2929 |
| Practice Telephone | 2626527222 |
| Mailing Telephone | 2625645305 |
| Mailing Fax Number | 2625645306 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 7968-123 | WI | Agencies |
| Street Address |
6121 GREEN BAY RD SUITE 220 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428674 | Sharon Lynn O'brien | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-06-23 |
| 1205476603 | Drew Velasco | Nurse Practitioner | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2020-01-14 |
| 1205103223 | Victoria H Biehn | Counselor | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2011-11-18 |
| 1881922300 | Janice Kampa-tews | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2009-11-20 |
| 1972663870 | Leslie Ann Konek-schlax | Social Worker | 6121 Green Bay Rd, Kenosha, WI 53142-2926 | 2006-12-11 |
| 1952486011 | Michael Houle | Counselor | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1104901263 | Nicole Johnson | Counselor | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1467537423 | Debra Johansen | Psychologist | 6121 Green Bay Rd, Suite 230, Kenosha, WI 53142-2926 | 2006-10-26 |
| 1366526097 | Fleming Psychological Services, Sc | Counselor | 6121 Green Bay Rd, Ste. 230, Kenosha, WI 53142-2926 | 2006-10-25 |
| 1376560946 | Virginia V Fennema | Counselor | 6121 Green Bay Rd, Suite 220, Kenosha, WI 53142-2926 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013449545 | Clearview Counseling Group | Community/Behavioral Health | 10900 67th St, Kenosha, WI 53142-7547 | 2017-04-03 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1326217233 | Children's Behavioral Health Services, LLP | Community/Behavioral Health | 6021 56th Ave, Suite 4, Kenosha, WI 53142-3087 | 2008-02-25 |
| 1033301387 | Kenosha County Department of Human Services | Community/Behavioral Health | 8600 Sheridan Road, Suite 100, Kenosha, WI 53143-6507 | 2007-08-10 |
| 1295260545 | Sacred Art Counseling, LLC | Community/Behavioral Health | 3200 Sheridan Rd Ste 104, Kenosha, WI 53140-1921 | 2017-04-25 |
| 1841514916 | Bell Therapy Associates | Community/Behavioral Health | 5500 8th Ave, Kenosha, WI 53140-3700 | 2010-03-18 |
| 1649443136 | Moore & Associates, Inc. | Community/Behavioral Health | 6530 Sheridan Road, Suite # 3, Kenosha, WI 53143 | 2008-04-07 |
| 1184894628 | Locke Consulting Services Company | Community/Behavioral Health | 9020 15th Ave, Kenosha, WI 53143-6803 | 2008-03-11 |
| 1942470661 | Kenosha Human Development Services, Inc | Community/Behavioral Health | 5407 8th Ave, Kenosha, WI 53140-3715 | 2008-03-10 |
| 1285827667 | Kenosha County Department of Human Services | Community/Behavioral Health | 8600 Sheridan Road, Suite 100, Kenosha, WI 53143-6507 | 2007-08-20 |
| Find all providers in KENOSHA | ||||
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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.