ALISYN CUNDIFF (NPI# 1679067169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679067169 |
| Entity Type | Individual |
| Full Name | ALISYN CUNDIFF |
| Practice Address |
502 E New York Ave Oshkosh WI 54901-3938 |
| Mailing Address |
1000 N Lynndale Dr Ste C Appleton WI 54914-3057 |
| Practice Telephone | 9206511844 |
| Practice Fax Number | 9206511845 |
| Mailing Telephone | 9207359010 |
| Mailing Fax Number | 9207359050 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| 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) |
18521-130 | WI | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
131093-121 | WI | Behavioral Health & Social Service Providers |
| Street Address |
502 E NEW YORK AVE |
| City | OSHKOSH |
| State | WI |
| Zip Code | 54901-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891922183 | Cheryl J Root | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2009-06-15 |
| 1124504287 | Gabrielle Boehrig | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2018-07-12 |
| 1326533357 | Chelsea Fritz | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2018-06-22 |
| 1366982639 | Jenna Washuleski | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2017-03-06 |
| 1750621181 | Donald Sweet | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657855 | Kayla Crockett | Specialist/Technologist | Kolf Sports Center, Oshkosh, WI 54901 | 2019-12-26 |
| 1629593421 | Taymoor Sardar | Psychologist | 404 N. Main St., Suite 501, Oshkosh, WI 54901 | 2017-08-14 |
| 1821414889 | Chris Lynn Wiggs | Registered Nurse | 2150 Ontario St., Oshkosh, WI 54901 | 2014-03-13 |
| 1114359023 | Robert James Rigoni Jr. | Pharmacist | 1300 S. Koeller Rd, Oshkosh, WI 54901 | 2013-08-01 |
| 1427313386 | Scott Forrest Trippe | Psychologist | 627 Bayshore Drive, Oshkosh, WI 54901 | 2012-07-06 |
| 1003113135 | Ashley Lauren Procknow | Registered Nurse | 105 Bowen St, Oshkosh, WI 54901 | 2011-02-25 |
| 1982915963 | Benjamin Ross Goldstein | Psychiatry & Neurology | 4100 Treffert Dr., Oshkosh, WI 54901 | 2010-06-24 |
| 1982926234 | Patricia A Pendowski | Counselor | 3240 Jackson Street, Oshkosh, WI 54901 | 2010-02-26 |
| 1083867477 | Lori Marie Pierquet | Psychologist | 375 C Executive Suites, City Center, Oshkosh, WI 54901 | 2008-10-29 |
| 1346493228 | William Alexander Hammond | Dentist | 5252 I-ah-maytah Rd., Oshkosh, WI 54901 | 2008-10-23 |
| Find all providers in zip 54901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184935355 | Crystal Leach | Counselor | 1100 West 2nd Street, Oshkosh, NE 69154-6152 | 2010-06-23 |
| 1932340437 | John Claus Marxen | Counselor | 3126 W 20th Ave, Oshkosh, WI 54904-9258 | 2009-03-12 |
| 1861659237 | Jennifer M Schinkten | Counselor | 404 N Main St Ste 612, Oshkosh, WI 54901-4953 | 2008-05-21 |
| 1285835751 | Cheryl Ann Eifler | Counselor | 515 S Washburn St Ste 104, Oshkosh, WI 54904-7951 | 2007-05-30 |
| 1871651299 | Stacey Otto | Counselor | 220 Washington Avenue, Oshkosh, WI 54901 | 2006-12-05 |
| 1528169034 | Paula F. Harry | Counselor | 404 N Main St Ste 503, Oshkosh, WI 54901-4952 | 2006-09-26 |
| 1851906291 | Bethany A Lerch | Counselor | 404 N Main St Ste 503, Oshkosh, WI 54901-4952 | 2020-09-12 |
| 1528684545 | Emily Ruf | Counselor | 220 Washington Ave, Oshkosh, WI 54901-5030 | 2020-06-25 |
| 1124504287 | Gabrielle Boehrig | Counselor | 502 E New York Ave, Oshkosh, WI 54901-3938 | 2018-07-12 |
| 1366956682 | Jamie M Freund | Counselor | 404 N Main St Ste 612, Oshkosh, WI 54901-4953 | 2017-11-22 |
| Find all providers in OSHKOSH | ||||
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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.