CANDICE KREIS (NPI# 1730725938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730725938 |
| Entity Type | Individual |
| Full Name | CANDICE KREIS |
| Credential | MA |
| 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 | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3213-226 | WI | Behavioral Health & Social Service Providers |
| 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 |
| 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 |
| 1679083729 | Laura Selker | Marriage & Family Therapist | E7475 Rawhide Rd, New London, WI 54961-9025 | 2017-10-03 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003454166 | Seth Davis Utley | Counselor | 334 Pearl Bay Dr, New London, NC 28127-9128 | 2019-12-19 |
| 1952651432 | Tanya Wenke | Counselor | 255 Hempstead Street, New London, CT 06340 | 2012-09-12 |
| 1528297470 | Julie Feider, Mse, Lpc | Counselor | 401 W North Water St, New London, WI 54961-1249 | 2009-07-13 |
| 1861634719 | Rebecca L Kramer | Counselor | 315 Burton St, New London, WI 54961 | 2009-03-24 |
| 1073680252 | James Bernard Esposito | Counselor | 370 Main St., New London, NH 03257 | 2006-11-30 |
| 1891307716 | Dashelle Grant | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2020-08-21 |
| 1639780943 | Jacqueline Paige Fiege | Counselor | E7475 Rawhide Rd, New London, WI 54961-9025 | 2020-08-11 |
| 1356964779 | Cassandra L Leuchner | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2020-05-20 |
| 1376187005 | Terry Stone-porreca | Counselor | 35 Newport Road, New London, NH 03257-5413 | 2019-11-06 |
| 1629629704 | Mariel Ozoria | Counselor | 75 Granite St, New London, CT 06320-5730 | 2019-09-20 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 54961 |
Please comment or provide details below to improve the information on CANDICE KREIS.
| 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.