ALYSSA A HALLGREN (NPI# 1629617329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629617329 |
Entity Type | Individual |
Full Name | ALYSSA A HALLGREN |
Credential | LPC |
Practice Address |
620 W Brown St Waupun WI 53963-1702 |
Practice Telephone | 9209264200 |
Enumeration Date | 2019-12-27 |
Last Update Date | 2019-12-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
620 W BROWN ST |
City | WAUPUN |
State | WI |
Zip Code | 53963-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306840350 | Vb Anesthesia | Nurse Practitioner | 620 W Brown St, Waupun, WI 53963-1702 | 2005-06-08 |
1245841915 | Maribel Ramos | Nurse Anesthetist, Certified Registered | 620 W Brown St, Waupun, WI 53963-1702 | 2020-08-14 |
1639797541 | Zachary Richard Bartz | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2020-07-07 |
1427695626 | Madeline Younger | Occupational Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2019-12-06 |
1437710910 | Tori Lynn Kieler | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1799 | 2019-06-25 |
1760046981 | Katherine Lorraine Grady | Social Worker | 620 W Brown St, Waupun, WI 53963-1702 | 2019-04-23 |
1497234686 | Lakeside Neurocare Limited | Psychiatry & Neurology | 620 W Brown St, Waupun, WI 53963-1702 | 2018-08-09 |
1043719420 | Kourtney Kaye Lechner Ullrich | Counselor | 620 W Brown St, Waupun, WI 53963 | 2018-02-12 |
1811410152 | Andrea Marie Smits | Nurse Practitioner | 620 W Brown St, Waupun, WI 53963-1702 | 2017-07-19 |
1730629874 | Erin Bauer | Physical Therapist | 620 W Brown St, Waupun, WI 53963-1702 | 2017-03-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
Find all providers in zip 53963 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
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.