ADDIE MAE CALDWELL (NPI# 1679071492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679071492 |
| Entity Type | Individual |
| Full Name | ADDIE MAE CALDWELL |
| Practice Address |
N2150 Kesaehkahtek Rd Gresham WI 54128-9602 |
| Practice Telephone | 7157993835 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3331-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
N2150 KESAEHKAHTEK RD |
| City | GRESHAM |
| State | WI |
| Zip Code | 54128-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487829883 | Annette Pauline Latender | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-04-25 |
| 1942708789 | Brandon Waupekenay | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| 1962867085 | Natalie Cornelius | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2015-12-16 |
| 1396124939 | Rachel A Seegers | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2015-05-28 |
| 1760889471 | Jeniifer Metoxen | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2014-11-24 |
| 1003063157 | Bruce A Wilber Jr. | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-08-20 |
| 1588829030 | Maehnowesekiyah Wellness Center | Community/Behavioral Health | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-24 |
| 1912162462 | Maehnowesekiyah Wellness Center | Community/Behavioral Health | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-24 |
| 1184889560 | Steven Dakai | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-24 |
| 1497910103 | Maehnowesekiyah Wellness Center | Community/Behavioral Health | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2008-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447425145 | Mary Bernadette Barney | Counselor | N2150 Kesaehkahtek, Gresham, WI 54128 | 2008-04-24 |
| 1861853566 | Jennifer Lidbury | Registered Nurse | N2150 Kesaehkahtek, Gresham, WI 54128 | 2016-03-09 |
| 1427315944 | Brian A Krause | Occupational Therapy Assistant | W10877 Upper Red Lake Rd, Gresham, WI 54128-8995 | 2012-04-20 |
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972044790 | Building Resiliency LLC | Counselor | 510 Ne Roberts Ave Ste 310, Gresham, OR 97030-7485 | 2017-03-13 |
| 1164882585 | Alan Wheatley | Counselor | 504 Se Myrtlewood Ln, Gresham, OR 97080-8165 | 2016-02-26 |
| 1013321967 | David J. Lowe | Counselor | 1890 Ne Cleveland Ave, Gresham, OR 97030-4210 | 2014-06-18 |
| 1790977379 | Laura Janine Sheppard | Counselor | 320 N. Main, Suite 201, Gresham, OR 97030-7429 | 2007-08-16 |
| 1932327293 | Hope Family Services | Counselor | 2710 Se 182nd Ave, Gresham, OR 97030-5013 | 2007-04-23 |
| 1457495954 | Marteen Jensen | Counselor | 510 Ne Roberts Ave Ste 350, Gresham, OR 97030-7486 | 2007-02-16 |
| 1891858890 | Alice Meree King | Counselor | 4101 Ne Division St Ste 100, Telecare Corp, Gresham, OR 97030-4617 | 2006-12-19 |
| 1639187099 | Ginna Alene Hoffman | Counselor | 2951 Nw Division St, Suite 200, Gresham, OR 97030-5292 | 2006-08-03 |
| 1104487412 | Center of Hope Counseling Services LLC | Counselor | 510 Ne Roberts Ave Ste 100, Gresham, OR 97030-7483 | 2019-06-26 |
| 1942708789 | Brandon Waupekenay | Counselor | N2150 Kesaehkahtek Rd, Gresham, WI 54128-9602 | 2018-01-26 |
| Find all providers in GRESHAM | ||||
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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.