MR. JERRY D YOUNGMAN (NPI# 1750301693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750301693 |
| Entity Type | Individual |
| Full Name | MR. JERRY D YOUNGMAN |
| Credential | LPC |
| Practice Address |
1100 Bergslien St Baldwin WI 54002-2600 |
| Practice Telephone | 7156841111 |
| Practice Fax Number | 7156841119 |
| Mailing Telephone | 7156841111 |
| Mailing Fax Number | 7156841119 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 448 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1100 BERGSLIEN ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232982 | Christopher Converse Babbitt | Psychologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2005-08-12 |
| 1568076842 | Lindsey Jae Berg | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-09-03 |
| 1558979112 | Alexandra Erickson | Occupational Therapist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-07-20 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1598308025 | Morgan A Miller | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-10-28 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1891277455 | Andrea Kay Burns | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-08-30 |
| 1790283265 | Kate Lynn Jones | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| 1861538472 | Susan Jayne Irek | Pharmacist | 840 Main Street, Baldwin, WI 54002 | 2007-01-30 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174733539 | South Shore Asociation for Independent Living, Inc. | Counselor | 1976 Grand Avenue, Baldwin, NY 11510 | 2007-05-23 |
| 1124579560 | Lakeisha Bob | Counselor | 106 John Street, Baldwin, LA 70514 | 2016-10-20 |
| 1073966214 | Meshelle L Burrows | Counselor | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2016-07-22 |
| 1558384149 | Steven B Tyvoll | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2006-07-25 |
| 1750317277 | Denise Marie Tinkham | Counselor | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
| 1225646219 | Kaitlyn Schobert | Counselor | 6225 N Lake Dr, Whitefish Bay, WI 53217-4341 | 2020-07-16 |
| 1306464268 | Jennah E Benson | Counselor | 1 S Main Street, Janesville, WI 53545-3977 | 2020-07-08 |
| 1730704115 | Tanya Scheidegger | Counselor | 101 W Broadway # 2, Waukesha, WI 53186-4833 | 2020-06-11 |
| 1336762996 | Monica Lillian Cummings | Counselor | 7751 5th Ave, Kenosha, WI 53143-6006 | 2020-05-18 |
| 1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
| 1053930867 | Jennifer Betters-bubon | Counselor | 127 E Prospect St, Stoughton, WI 53589-1650 | 2020-04-11 |
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1902437932 | Amanda Kay Harpt | Counselor | 516 Hilltop Dr, Green Bay, WI 54301-2718 | 2020-01-29 |
| 1912537333 | Jody Lee Erlicher | Counselor | 1114 S 11th St, Manitowoc, WI 54220-5217 | 2020-01-24 |
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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.