KRISTINE MERRILL (NPI# 1679539191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679539191 |
| Entity Type | Individual |
| Full Name | KRISTINE MERRILL |
| Credential | MSW; LCSW |
| Practice Address |
415 N Main St Suite 3 Poynette WI 53955-8963 |
| Practice Telephone | 6086352146 |
| Mailing Telephone | 6086352146 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4372-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215210653 | Kristine Marie Merrill | Pharmacist | 545 E Santa Fe St, Olathe, KS 66061-3462 | 2011-09-22 |
| Street Address |
415 N MAIN ST SUITE 3 |
| City | POYNETTE |
| State | WI |
| Zip Code | 53955-8963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699924423 | Angela Marie Thompson | Massage Therapist | 415 N Main St, Suite 2 Office 2, Poynette, WI 53955-8963 | 2008-09-17 |
| 1326215161 | Curtis S Hossman | Counselor | 415 N Main St, Poynette, WI 53955-8963 | 2008-05-12 |
| 1851378988 | Velma Haag | Social Worker | 415 N Main St, Poynette, WI 53955-8963 | 2005-12-29 |
| 1932100864 | Haag Mental Health Consulting, Inc. | Counselor | 415 N Main St, Suite 3, Poynette, WI 53955-8963 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679656482 | David B. Yaeger | Chiropractor | 214 E. Seward Street, Poynette, WI 53955 | 2006-10-23 |
| 1255449823 | Brian Roger Olson | Pharmacist | 317 N Hwy 51, Poynette, WI 53955 | 2006-08-25 |
| 1871751503 | Sara J Hausser | Speech-Language Pathologist | 717 Links Dr, Poynette, WI 53955-8304 | 2008-05-29 |
| 1376524389 | Georgia J. White | Licensed Practical Nurse | 236 E Tomlinson St, Poynette, WI 53955-8574 | 2005-11-07 |
| 1407990864 | Poynette-dekorra Fire Protection District | Emergency Medical Technician, Basic | 606 Water Tower Rd., Poynette, WI 53955-8622 | 2007-02-19 |
| 1124208061 | School District of Poynette | Local Education Agency (LEA) | 108 N Cleveland St, Poynette, WI 53955-8913 | 2007-11-08 |
| 1316190010 | Greenbush Oaks, Inc | Counselor | 415 N Main St Ste 3, Poynette, WI 53955-8963 | 2008-10-28 |
| 1437308152 | Mary Ellen Young | Registered Nurse | 422 Valley View Dr, Poynette, WI 53955-8966 | 2008-09-17 |
| 1659439164 | Hall Family Chiropractic & Wellness Center, Sc | Chiropractor | 110 N Main St, Poynette, WI 53955-9329 | 2006-12-05 |
| 1720194418 | Angela Hall | Chiropractor | 110 N Main St, Poynette, WI 53955-9329 | 2006-08-22 |
| Find all providers in zip 53955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100864 | Haag Mental Health Consulting, Inc. | Counselor | 415 N Main St, Suite 3, Poynette, WI 53955-8963 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446430 | Caley Kiser | Counselor | 1245 Cheyenne Ave Ste 200, Grafton, WI 53024-9323 | 2020-10-28 |
| 1467051706 | Emily Worth | Counselor | 1426 Hiawatha Dr, Beaver Dam, WI 53916-1042 | 2020-10-19 |
| 1740888544 | Rene Beth Domask | Counselor | 760 Quarterdeck Ln # 2102b, Sturgeon Bay, WI 54235-3639 | 2020-10-14 |
| 1073110631 | Be Insightful Counseling LLC | Counselor | 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 | 2020-10-07 |
| 1447867759 | Veronica Mary Fox | Counselor | N79w12855 Fond Du Lac Avenue, Menomonee Falls, WI 53051-4409 | 2020-09-30 |
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1265047625 | Jessica Marie Key | Counselor | 5805 W Wells St, Wauwatosa, WI 53213-3239 | 2020-09-12 |
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1477167658 | Aleksandra Miles Steinert | Counselor | 2025 E Greenwich Ave Unit 119, Milwaukee, WI 53211-4428 | 2020-09-03 |
| 1003420597 | Joshua A. Larson | Counselor | 316 N Milwaukee St Ste 325, Milwaukee, WI 53202-5895 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KRISTINE MERRILL.
| 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.