MARYAM FATERIOUN (NPI# 1679940027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679940027 |
| Entity Type | Individual |
| Full Name | MARYAM FATERIOUN |
| Credential | MSW |
| Practice Address |
514 Riverview Ave Waukesha WI 53188-3631 |
| Practice Telephone | 2625487666 |
| Practice Fax Number | 2629706696 |
| Mailing Telephone | 2625487666 |
| Mailing Fax Number | 2629706696 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17144 | WI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
129495 | WI | Behavioral Health & Social Service Providers |
| Street Address |
514 RIVERVIEW AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710940572 | Mark D Biehl | Psychiatry & Neurology | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2006-04-11 |
| 1326652207 | Jessica Margaret Pagel | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1982218855 | Cailey Moran | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1518571488 | Leslie Megan Chisholm | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1245844117 | Courtney Labuy | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1558975458 | Kai Eric Goldenstein | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1861018863 | Mardy Juhl | Counselor | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-25 |
| 1437773249 | Alissa Hetzel | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-08 |
| 1417571217 | Emily Ann Partlow | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-08 |
| 1548884752 | Madeline Marie Attewell | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917609 | Choice 2 Change Therapy, Inc. | Counselor | 217 Wisconsin Ave Ste 114, Waukesha, WI 53186-4946 | 2019-02-01 |
| 1851864029 | Daniel Chadwick | Counselor | 741 N Grand Ave Ste 204, Waukesha, WI 53186-4841 | 2019-01-09 |
| 1376021782 | Jasen Alan Eberhardt | Counselor | 223 Wisconsin Ave Ste B, Waukesha, WI 53186-4968 | 2018-07-30 |
| 1952601833 | Heidi J Rubio | Counselor | 210 Nw Barstow St, Suite 110, Waukesha, WI 53188 | 2010-10-26 |
| 1477793180 | Sarah M Smith | Counselor | W231n1440 Corporate Ct # 310, Waukesha, WI 53186-1303 | 2009-02-21 |
| 1952577488 | Patricia Rose Gutierrez | Counselor | 147 Randall St, Waukesha, WI 53188-3528 | 2008-05-05 |
| 1902091135 | Tamara L Erickson | Counselor | 2314 Grandview Blvd, Suites 301 & 110, Waukesha, WI 53188-1675 | 2007-09-11 |
| 1275734105 | Denise Louise Drum | Counselor | 407 Pilot Ct Ste 400, Waukesha, WI 53188-2466 | 2007-05-29 |
| 1124182126 | David Poehlmann | Counselor | 2422 N Grandview Blvd, Suite 501, Waukesha, WI 53188-6105 | 2006-12-21 |
| 1629132840 | Maribeth Rose Dettlaff | Counselor | 500 Riverview Ave Ste 2, Waukesha, WI 53188-3632 | 2006-12-21 |
| Find all providers in WAUKESHA | ||||
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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.