NICHOL GRATHEN (NPI# 1639545023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639545023 |
| Entity Type | Individual |
| Full Name | NICHOL GRATHEN |
| Practice Address |
571 County Road A Green Lake WI 54941-8630 |
| Practice Telephone | 9202944070 |
| Practice Fax Number | 9202944139 |
| Mailing Telephone | 9202944070 |
| Mailing Fax Number | 9202944139 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2019-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
16805-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5942-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100047842 | 05 |
| Street Address |
571 COUNTY ROAD A |
| City | GREEN LAKE |
| State | WI |
| Zip Code | 54941-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558301580 | Shirley J. Dawson | Psychiatry & Neurology | 571 County Road A, Green Lake, WI 54941-8630 | 2006-06-07 |
| 1669072872 | Holley Dornfeld | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2020-10-27 |
| 1083274534 | Breana J Seuffer | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2019-06-17 |
| 1992298863 | Carrie Nitz | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2018-06-14 |
| 1700388782 | Brooke D Bruce | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2018-03-06 |
| 1821597311 | Sara Rose Rhode | Counselor | 571 County Road A, Green Lake, WI 54941 | 2018-02-09 |
| 1144770959 | Jessica A. Bowman | Social Worker | 571 County Road A, Green Lake, WI 54941-8630 | 2016-10-05 |
| 1275088577 | Tammi Cassidy | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2016-08-17 |
| 1174976203 | Trixie Murphy | Social Worker | 571 County Road A, Green Lake, WI 54941-8630 | 2016-07-13 |
| 1841599859 | Gretchen M Malkowsky | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2011-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622280 | Community Medical Center of Green Lake, LLC | Family Medicine | 670 County Road A, Green Lake, WI 54941 | 2008-06-16 |
| 1144411612 | Green Lake School District | Local Education Agency (LEA) | 612 Mill St, Green Lake, WI 54941 | 2007-08-08 |
| 1073640736 | Mari Ann Krueger | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1013072750 | Colleen Pomplun | Chiropractor | 505 Lake Street, Green Lake, WI 54941 | 2006-12-22 |
| 1407849433 | James M Williams | Family Medicine | 670 Cty Rd A, Green Lake, WI 54941 | 2005-08-24 |
| 1902373103 | Trina Hernandez | Nurse Practitioner | 670 County Road A, Green Lake, WI 54941 | 2018-10-26 |
| 1366857146 | Kevin Daniel Castleberry | Dentist | 560 Mill St, Green Lake, WI 54941 | 2014-06-30 |
| 1316077860 | Emily Roth Johnson | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-03-06 |
| 1679600340 | Ann Loretta Frintner | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1306986716 | Green Lake Medical Clinic, S.c. | Family Medicine | N6205 Busse Drive, Green Lake, WI 54941 | 2007-02-07 |
| Find all providers in zip 54941 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275088577 | Tammi Cassidy | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2016-08-17 |
| 1780867408 | County of Green Lake | Counselor | 571 County Road A, Green Lake, WI 54941 | 2007-12-17 |
| 1811105851 | Lana Kay Hilbert | Counselor | 571 County Road A, Green Lake, WI 54941-8630 | 2007-05-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GREEN LAKE |
| Zip Code | 54941 |
Please comment or provide details below to improve the information on NICHOL GRATHEN.
| 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.