LAURA L GOERGEN (NPI# 1689909335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689909335 |
| Entity Type | Individual |
| Full Name | LAURA L GOERGEN |
| Credential | LPC, CSAC, CSW, ICS |
| Practice Address |
1720 Merrill Ave Ste 401 Wausau WI 54401-3427 |
| Mailing Address |
1100 Lake View Dr Wausau WI 54403-6799 |
| Practice Telephone | 7156753888 |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2019-12-30 |
| 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) |
15583 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
4221-125 | WI | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 9182-120 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Lake View Dr, Wausau, WI 544036799 | 7158484600 |
| Street Address |
1720 MERRILL AVE STE 401 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1740796762 | True North Counseling, LLC | Counselor | 500 N 3rd St Ste 208-3&4, Wausau, WI 54403-4885 | 2017-12-28 |
| 1023538824 | Ann Marie Dixon | Counselor | 500 N 3rd St # 208-34, Wausau, WI 54403-4885 | 2017-06-22 |
| 1205242245 | Elizabeth Krueger | Counselor | 520 N 28th Ave Ste 200, Wausau, WI 54401-4101 | 2014-07-10 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1912204884 | Curt Edward Clausen | Counselor | 707 1/2 N 2nd Ave, Wausau, WI 54401-2963 | 2011-02-11 |
| 1598093221 | Andrew Edward Cameron | Counselor | 530 Grant St, Wausau, WI 54403-4738 | 2009-11-18 |
| 1851626816 | Karyn Lynn Mehringer | Counselor | 5426 Arbor Ct, Wausau, WI 54401-8079 | 2009-10-08 |
| 1104066687 | Jolene V Nowak | Counselor | 627 Jackson St, Wausau, WI 54403-5550 | 2009-02-24 |
| 1952421117 | Amy L Marcott | Counselor | 1202 Callon St, Wausau, WI 54402-1702 | 2007-03-30 |
| Find all providers in WAUSAU | ||||
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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.