COLLEEN ANGEL (NPI# 1649718917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649718917 |
| Entity Type | Individual |
| Full Name | COLLEEN ANGEL |
| Credential | LPC-IT |
| Practice Address |
114 Grand Ave Wausau WI 54403-6214 |
| Practice Telephone | 7158457175 |
| Practice Fax Number | 7158457142 |
| Mailing Telephone | 7158457175 |
| Mailing Fax Number | 7158457142 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
3399-226 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
7927-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
114 GRAND AVE |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457493280 | Gary Gene Grote | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-02-12 |
| 1932688595 | Chad Macmillan | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2018-08-14 |
| 1164949319 | Ashley Dawn Abrams | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2017-08-28 |
| 1679022156 | Debra Stahl | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2016-09-26 |
| 1003247420 | Robert Donald Wurth | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2013-12-11 |
| 1255765335 | Courtney Derus | Psychologist | 114 Grand Ave, Wausau, WI 54403-6214 | 2013-08-26 |
| 1376863688 | Elizabeth Jane Unrath | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2010-06-09 |
| 1710006523 | Lisa L Berry | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| 1720107550 | Shelly Tuttle | Counselor | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| 1497874291 | Kandace J Elmergreen | Social Worker | 114 Grand Ave, Wausau, WI 54403-6214 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1740796762 | True North Counseling, LLC | Counselor | 500 N 3rd St Ste 208-3&4, Wausau, WI 54403-4885 | 2017-12-28 |
| 1023538824 | Ann Marie Dixon | Counselor | 500 N 3rd St # 208-34, Wausau, WI 54403-4885 | 2017-06-22 |
| 1205242245 | Elizabeth Krueger | Counselor | 520 N 28th Ave Ste 200, Wausau, WI 54401-4101 | 2014-07-10 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1912204884 | Curt Edward Clausen | Counselor | 707 1/2 N 2nd Ave, Wausau, WI 54401-2963 | 2011-02-11 |
| 1598093221 | Andrew Edward Cameron | Counselor | 530 Grant St, Wausau, WI 54403-4738 | 2009-11-18 |
| 1851626816 | Karyn Lynn Mehringer | Counselor | 5426 Arbor Ct, Wausau, WI 54401-8079 | 2009-10-08 |
| 1104066687 | Jolene V Nowak | Counselor | 627 Jackson St, Wausau, WI 54403-5550 | 2009-02-24 |
| 1952421117 | Amy L Marcott | Counselor | 1202 Callon St, Wausau, WI 54402-1702 | 2007-03-30 |
| Find all providers in WAUSAU | ||||
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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.