LAURA SELKER (NPI# 1679083729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679083729 |
| Entity Type | Individual |
| Full Name | LAURA SELKER |
| Credential | MA, LMFT-IT |
| Practice Address |
E7475 Rawhide Rd New London WI 54961-9025 |
| Practice Telephone | 8773009101 |
| Practice Fax Number | 9205312686 |
| Mailing Telephone | 8773009101 |
| Mailing Fax Number | 9205312686 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 536-228 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 446 N Westhill Blvd Ste 6, Appleton, WI 549146533 | 9209314350 | 9202574460 |
| Street Address |
E7475 RAWHIDE RD |
| City | NEW LONDON |
| State | WI |
| Zip Code | 54961-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841334620 | Rawhide Inc. | Community/Behavioral Health | E7475 Rawhide Rd, New London, WI 54961-9025 | 2007-02-16 |
| 1639780943 | Jacqueline Paige Fiege | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-08-11 |
| 1023647849 | Kari Ann Smith | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-04-03 |
| 1730725938 | Candice Kreis | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-11-22 |
| 1942843172 | Sarah Ann Boyea | Social Worker | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-10-21 |
| 1740822055 | Lauren Mae Flunker | Social Worker | E7475 Rawhide Rd, New London, WI 54961 | 2019-10-09 |
| 1649820622 | Brittany Cook | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2019-09-12 |
| 1003388380 | Amanda Beth Martin | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1619449063 | Carey Ann Molinski | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2018-12-26 |
| 1396255774 | Patti Wagner | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406408 | Cheryl Schneider | Technician | L 56 Northgate Estates, New London, WI 54961 | 2019-09-12 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1598913501 | Marsha Ann Nytes | Licensed Practical Nurse | E8222 Weyawega Rd, New London, WI 54961 | 2008-09-03 |
| 1659585172 | Amanda L. Beck | Physical Therapy Assistant | 400 E. 4th Street, Manawa, WI 54961 | 2007-05-10 |
| 1366599433 | Griebenow Eyecare, S.c. | Optometrist | 105 Northridge Drive, New London, WI 54961 | 2007-01-04 |
| 1063641249 | Forefront Dermatology, S.c. | Dermatology | 1620 N Shawano St, Suite C, New London, WI 54961 | 2009-07-08 |
| 1093982530 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1420 Algoma St, New London, WI 54961 | 2008-05-14 |
| 1194910489 | Laurie Mollenhauer | Physical Therapist | 1405 Mill St, New London, WI 54961 | 2007-09-10 |
| 1497837900 | Michael Reed | Nurse Anesthetist, Certified Registered | 1405 Mill St, New London, WI 54961 | 2006-10-20 |
| 1639282544 | Ascension Medical Group-fox Valley Wisconsin, Inc | Durable Medical Equipment & Medical Supplies | 1420 Algoma St, New London, WI 54961 | 2006-08-16 |
| Find all providers in zip 54961 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701497 | Denyce Marie Martell | Marriage & Family Therapist | 154 Hempstead St Fl 2, New London, CT 06320-5638 | 2019-07-10 |
| 1265998298 | Rebecca Tydeman | Marriage & Family Therapist | 351 N Frontage Rd Ste 24, New London, CT 06320-2628 | 2019-02-14 |
| 1538566831 | Jamie P Thompson | Marriage & Family Therapist | 44381 Nc 740 Hwy, New London, NC 28127-9618 | 2014-12-02 |
| 1649681149 | Lucy Domenie Solari | Marriage & Family Therapist | 464 Ocean Ave Ste 300, New London, CT 06320-4544 | 2014-05-19 |
| 1437392545 | Claire A. Mcintyre | Marriage & Family Therapist | 165 State St Ste 220, New London, CT 06320-6304 | 2009-04-20 |
| 1902945314 | Tricia Elizabeth Capozza | Marriage & Family Therapist | 445 Ocean Ave, New London, CT 06320-4502 | 2007-02-05 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1639267909 | Lisa Karen Pionke | Marriage & Family Therapist | Rmms - 1 Bulkeley Place, New London, CT 06320 | 2006-10-11 |
| 1598862153 | Judith Fabricant | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2006-09-17 |
| 1598770448 | Dawn Meredith Zarycki | Marriage & Family Therapist | 7 Vauxhall Street, New London, CT 06320 | 2006-07-29 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
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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.